NPIMap

Organization Active NPI

Sunrise Medical Group, LLC

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1518630698
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUNRISE MEDICAL GROUP, LLC
Practice address
2302 Parklake Drive
Suite 596
Atlanta, GA 30345-2884
Phone
(404) 372-1196
NPI assigned
Jul 26, 2021
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
John Koryan
Title
John Koryan
Phone
(404) 552-9096

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2302 Parklake Drive
Suite 596
Atlanta, GA 30345-2884

Mailing address

2200 Parklake Dr NE Apt 1341
Atlanta, GA 30345-2884

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Medical Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1518630698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARKLAKE DR NE APT 1341",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DRIVE",
            "address_2": "SUITE 596",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452884",
            "telephone_number": "404-372-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "KORYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "JOHN KORYAN",
        "authorized_official_telephone_number": "404-552-9096"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.