Organization Active NPI

Sunrise 2 Sunset Home Care, LLC

  • Home Health Agency
  • Crestline, OH
National Provider Identifier
1225525306
Registry record updated Apr 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNRISE 2 SUNSET HOME CARE, LLC
Practice address
309 W Bucyrus St
Crestline, OH 44827-1820
Phone
(419) 689-3108
Fax
(866) 561-3139
NPI assigned
Apr 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn M Fagan, RN
Title
Ceo
Phone
(419) 689-3108

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN.361828 OH
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

309 W Bucyrus St
Crestline, OH 44827-1820

Mailing address

309 W Bucyrus St
Crestline, OH 44827-1820
Phone (419) 689-3108

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523750400000",
    "number": "1225525306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W BUCYRUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271820",
            "telephone_number": "419-689-3108",
            "fax_number": "866-561-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W BUCYRUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271820",
            "telephone_number": "419-689-3108",
            "fax_number": "866-561-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE 2 SUNSET HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-689-3108",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.361828",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestline, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.