Sunrise Care Home LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SUNRISE CARE HOME LLC

Practice address

1447 Via Lucas
San Lorenzo, CA 94580

Phone

(510) 481-1300

Fax

(510) 276-5888

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Rodriguez Tayag, RCFE ADMINISTRATOR

Title

Administrator/Owner

Phone

(510) 481-1300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1497226047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 VIA LUCAS",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "94580",
            "telephone_number": "510-481-1300",
            "fax_number": "510-276-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 VIA LUCAS",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "94580",
            "telephone_number": "510-481-1300",
            "fax_number": "510-276-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "TAYAG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "510-481-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RCFE ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Taylor
• The Alliance for Community Wellness
• The Alliance for Community Wellness
• Heather Thompson
• Clarice Torrey, OTR/L

• Community Health Clinic/Center in San Lorenzo, CA
• Providers in San Lorenzo, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.