Sunburst Care Center #3

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

LTC61026F Issued in CA

Legal business name

SUNBURST CARE CENTER #3

Practice address

16518 Tupper St
North Hills, CA 91343-2833

Phone

(818) 892-8840

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Perry Edward Raso

Title

Secretary Treasurer

Phone

(818) 831-0625

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G479

Legal name

SUNBURST CARE CENTER #3

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Sep 11, 2003

Last certification

Jun 18, 2025

Beds

6

Ownership / control type

Other (specify)

Facility address

16518 Tupper Street
North Hills, CA 91343

Tax ID family

Sunburst Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sunburst Care Center

  • Intellectual Disabilities Intermediate Care Facility
  • North Hills, CA
  • NPI 1811105919
  NPD tax ID
• Sunburst Care Center-Winnetka

  • Intellectual Disabilities Intermediate Care Facility
  • Winnetka, CA
  • NPI 1639387731
  NPD tax ID

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356550529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19684 LOS ALIMOS ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111934",
            "telephone_number": "818-831-0625",
            "fax_number": "818-368-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16518 TUPPER ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913432833",
            "telephone_number": "818-892-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURST CARE CENTER #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASO",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "818-831-0625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "LTC61026F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "LTC61026F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Stevens, MFTI
• Parichat Stout, LMFT
• Rosa Su, M.A.
• Sublime Hospice
• Sunburst Care Center
• Allison Tran Suzuki, DDS
• Diane Suzuki
• SV Hospice Care, Inc.
• Dana Claire Sweeney, D.O.
• Sweet Sophias Senior Living LLC

• Intellectual Disabilities Intermediate Care Facility in North Hills, CA
• Providers in North Hills, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.