Organization Active NPI

Sunrise Personal Care

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1356729461
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNRISE PERSONAL CARE
Practice address
5160 S Eastern Ave Ste E
Las Vegas, NV 89119-2300
Phone
(702) 750-1629
Fax
(702) 750-1647
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Miriam Nallely Perdomo-Aguilar
Title
Director
Phone
(702) 750-1629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5160 S Eastern Ave Ste E
Las Vegas, NV 89119-2300

Mailing address

5160 S Eastern Ave Ste E
Las Vegas, NV 89119-2300
Phone (702) 750-1629

Other identifiers 1

IdentifierTypeStateIssuer
1760812317MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Personal Care3 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.

Locations

5160 S Eastern Ave
Ste E
Las Vegas, NV 89119
Phone (702) 798-0553

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1356729461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 S EASTERN AVE STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192300",
            "telephone_number": "702-750-1629",
            "fax_number": "702-750-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 S EASTERN AVE STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192300",
            "telephone_number": "702-750-1629",
            "fax_number": "702-750-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "PERDOMO-AGUILAR",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "NALLELY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-750-1629"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760812317",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.