Sunrise Medical Services,Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-036-1197 Issued in GA

Legal business name

SUNRISE MEDICAL SERVICES,INC

Doing business as

Lake Crossing Health Center

Practice address

6698 Washington Rd
Appling, GA 30802-4120

Phone

(706) 541-0462

Fax

(706) 541-0310

NPI assigned

Feb 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William T McKettrick

Title

Ceo

Phone

(706) 650-8922

Specialties & licenses 1

Addresses

Other names 1

• Lake Crossing Health Center Doing business as

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609848183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454C FURYS FERRY RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309079506",
            "telephone_number": "706-650-8922",
            "fax_number": "706-650-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6698 WASHINGTON RD",
            "city": "APPLING",
            "state": "GA",
            "postal_code": "308024120",
            "telephone_number": "706-541-0462",
            "fax_number": "706-541-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKETTRICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-650-8922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-036-1197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Crossing Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richmond County Hospital Authority (Lake Crossing Health Center)
• Phyllis H. Roland, RN
• Amanda Sifre
• Tonie Sills
• Robert Steudle, LMT
• The Reserve at Appling of Journey LLC
• Victoria D Manning
• Tyler Wack, MS, ATC
• Brandi Winkler

• Skilled Nursing Facility in Appling, GA
• Providers in Appling, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.