Sunrisearc, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUNRISEARC, INC.

Practice address

35201 Radio Rd
Leesburg, FL 34788-3148

Phone

(352) 787-3079

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Mark A Swain

Title

Ceo

Phone

(352) 787-3079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Arc Sunrise of Central Florida Other name

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1386049203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35201 RADIO RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883148",
            "telephone_number": "352-787-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35201 RADIO RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883148",
            "telephone_number": "352-787-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISEARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-787-3079"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROVIDER",
            "identifier": "023829596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arc Sunrise of Central Florida",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• David L Sustarsic, M.D.
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• Community/Behavioral Health Agency in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.