Organization Active NPI

Sunrise Growth and Renewal L.L.C.

  • Community/Behavioral Health Agency
  • Mooresville, NC
National Provider Identifier
1437045648
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNRISE GROWTH AND RENEWAL L.L.C.
Practice address
601 E Iredell Ave
Mooresville, NC 28115-2425
Phone
(980) 223-2838
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Mark Allen Fouts Jr.
Title
Owner
Phone
(980) 223-2838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

601 E Iredell Ave
Mooresville, NC 28115-2425

Mailing address

224 Turnersburg Hwy # 1040
Statesville, NC 28625-2797
Phone (980) 223-2838

National Provider Directory

National Provider Directory

Locations

601 E Iredell Ave
Mooresville, NC 28115
Phone 7046140430 ext. 1

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1437045648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TURNERSBURG HWY # 1040",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252797",
            "telephone_number": "980-223-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E IREDELL AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152425",
            "telephone_number": "980-223-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE GROWTH AND RENEWAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-15",
        "status": "A",
        "authorized_official_last_name": "FOUTS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-223-2838",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.