Organization Active NPI

Sunrise Enterprise LLC

  • Clinical Social Worker
  • Muscatine, IA
National Provider Identifier
1396926440
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNRISE ENTERPRISE LLC
Practice address
2925 Cedar St Ste 2
Muscatine, IA 52761-2385
Phone
(563) 263-7410
Fax
(563) 263-7506
NPI assigned
Nov 16, 2007
Organization subpart
Yes
Parent organization
SUNRISE ENTERPRISE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Mrs. Monta Cita Saxon, LISW
Title
Ceo
Phone
(319) 385-2910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2925 Cedar St Ste 2
Muscatine, IA 52761-2385

Mailing address

PO Box 244
Morning Sun, IA 52640-0244
Phone (319) 385-2910

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Enterprise LLC2 organizations share this tax ID, including this one
Part of
Sunrise Enterprise LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1396926440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "MORNING SUN",
            "state": "IA",
            "postal_code": "526400244",
            "telephone_number": "319-385-2910",
            "fax_number": "319-385-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CEDAR ST STE 2",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612385",
            "telephone_number": "563-263-7410",
            "fax_number": "563-263-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ENTERPRISE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE ENTERPRISE LLC",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "SAXON",
        "authorized_official_first_name": "MONTA",
        "authorized_official_middle_name": "CITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-385-2910",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.