Active NPI
Sunrise Blessing
- Developmentally Disabled Services Day Training Agency
- Avon, IN
National Provider Identifier
1487314431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SUNRISE BLESSING
- Practice address
- 6797 Ethens Glen Dr
Avon, IN 46123-6560 - Phone
- (317) 640-0593
- Fax
- (317) 286-7092
- NPI assigned
- Dec 17, 2021
- 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
- Christine R Johnson
- Title
- Ceo/Owner
- Phone
- (317) 640-0593
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
6797 Ethens Glen Dr
Avon, IN 46123-6560
Mailing address
6797 Ethens Glen Dr
Avon, IN 46123-6560
Phone (317) 640-0593
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Indianapolis, IN
- NPI 1184405425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639699200000",
"number": "1487314431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6797 ETHENS GLEN DR",
"city": "AVON",
"state": "IN",
"postal_code": "461236560",
"telephone_number": "317-640-0593",
"fax_number": "317-286-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6797 ETHENS GLEN DR",
"city": "AVON",
"state": "IN",
"postal_code": "461236560",
"telephone_number": "317-640-0593",
"fax_number": "317-286-7092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE BLESSING",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "317-640-0593"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.