Active NPI
Sunrise Home Health Care Provider, Inc.
- Home Health Agency
- Monterey Park, CA
National Provider Identifier
1295041036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUNRISE HOME HEALTH CARE PROVIDER, INC.
- Practice address
- 939 S Atlantic Blvd Ste 209B
Monterey Park, CA 91754-1064 - Phone
- (626) 922-0378
- NPI assigned
- Aug 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Suying Aryan, R.N.
- Title
- Ceo
- Phone
- (626) 922-0378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
939 S Atlantic Blvd Ste 209B
Monterey Park, CA 91754-1064
Mailing address
939 S Atlantic Blvd Ste 209B
Monterey Park, CA 91754-1064
Phone (626) 922-0378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101026000470 | CA | Part A Provider - Home Health Agency | 9830382563 | Practice locations: Hacienda Heights, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1295041036. Details of each certification follow.
Home health agency certification: CCN 059458
- Legal name
- SUNRISE HOME HEALTH CARE PROVIDER, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 31, 2012
- Last certification
- Jul 12, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 14, 2010 in CA
- Enrollment address
- 2211 S Hacienda Blvd
Ste 210
Hacienda Heights, CA 91745-4609
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Sunrise Home Health Care Provider, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 31, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2018259 | Sunrise Home Health Care Provider, Inc | Certificate of waiver | Dec 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
2211 S Hacienda Blvd
Ste 210
Hacienda Heights, CA 91745
Phone (626) 501-0146
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lung Chang | Contracted Managing Employee | Sep 8, 2010 | |
| Suying Aryan | 5% Or Greater Direct Ownership Interest | Sep 8, 2010 | |
| Corporate Director | Sep 8, 2010 | ||
| Sohrab Aryan | 5% Or Greater Direct Ownership Interest | Sep 8, 2010 | |
| Corporate Director | Sep 8, 2010 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1295041036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 S ATLANTIC BLVD STE 209B",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541064",
"telephone_number": "626-922-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 S ATLANTIC BLVD STE 209B",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541064",
"telephone_number": "626-922-0378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE HOME HEALTH CARE PROVIDER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "ARYAN",
"authorized_official_first_name": "SUYING",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-922-0378",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.