Organization Active NPI

Sunrise in-Home Care

  • Home Health Agency
  • Marion, NC
National Provider Identifier
1619174182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2204 Issued in NC
Legal business name
SUNRISE IN-HOME CARE
Practice address
29 W Henderson St
Suite 204
Marion, NC 28752-4505
Phone
(828) 659-6393
Fax
(828) 659-3437
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jacquelyn Bradford
Title
RN-Owner
Phone
(828) 659-6393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC2204 NC Primary

Addresses

Primary practice location

29 W Henderson St
Suite 204
Marion, NC 28752-4505

Mailing address

29 W Henderson St
Suite 204
Marion, NC 28752-4505
Phone (828) 659-6393

Other identifiers 1

IdentifierTypeStateIssuer
6601460MedicaidNC

National Provider Directory

National Provider Directory

Locations

29 W Henderson St
Ste 204
Marion, NC 28752
Phone (828) 659-6393

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619174182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W HENDERSON ST",
            "address_2": "SUITE 204",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524505",
            "telephone_number": "828-659-6393",
            "fax_number": "828-659-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W HENDERSON ST",
            "address_2": "SUITE 204",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524505",
            "telephone_number": "828-659-6393",
            "fax_number": "828-659-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "RN-OWNER",
        "authorized_official_telephone_number": "828-659-6393"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601460",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • 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.