Sunrise Home Care Services, LLC
Organization Active NPI Assisted Living Facility (Mental Illness) · Hampton, FL
NPI 1588093322 · NPPES record last updated Nov 2, 2013
Key facts
- NPI
- 1588093322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility (Mental Illness) 3104A0625X
- License
- AL5084 (FL)
- Legal business name
- SUNRISE HOME CARE SERVICES, LLC
- Practice address
- 9926 Prospect Ave
Hampton, FL 32044-4411 - Phone
- (352) 468-2619
- NPI assigned
- Nov 2, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- SUNRISE HOME CARE SERVICES, LLC
Authorized official
- Name
- Reynaldo Young
- Title
- Administrator / Manager
- Phone
- (352) 468-2619
National Provider Directory
- Part of
- Sunrise Home Care Services LLC
Locations
9926 Prospect Ave
Hampton, FL 32044
Phone (352) 468-2619
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | AL5084 | FL | Yes |
Addresses
Primary practice location
9926 Prospect Ave
Hampton, FL 32044-4411
Mailing address
PO Box 213
Hampton, FL 32044-0213
Phone (352) 468-2619
Other providers in Hampton, FL
All providers in Hampton, FL · Assisted Living Facility (Mental Illness) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.