Active NPI
Sunrise Growth and Renewal L.L.C.
- Community/Behavioral Health Agency
- Mooresville, NC
National Provider Identifier
1437045648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.