NPIMap

Organization Active NPI

Sunrise Place LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1376929208
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1074667 Issued in MN
Legal business name
SUNRISE PLACE LLC
Practice address
4721 Hiawatha Ave
Minneapolis, MN 55406-3928
Phone
(612) 822-1720
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Christiana Greene
Title
President
Phone
(612) 328-4819

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1074667 MN Primary
Substance Abuse Rehabilitation Facility 324500000X 1074667 MN

Addresses

Primary practice location

4721 Hiawatha Ave
Minneapolis, MN 55406-3928

Mailing address

4721 Hiawatha Ave
Minneapolis, MN 55406-3928
Phone (612) 822-1720

National Provider Directory

National Provider Directory

Locations

4721 Hiawatha Ave
Minneapolis, MN 55406
Phone (612) 328-4819

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1376929208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 HIAWATHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063928",
            "telephone_number": "612-822-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 HIAWATHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063928",
            "telephone_number": "612-822-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-328-4819"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "1074667",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1074667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.