Organization Active NPI

Sunrise Blessing

  • Developmentally Disabled Services Day Training Agency
  • Avon, IN
National Provider Identifier
1487314431
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Christine R JohnsonNPI 1184405425
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.