Sunrise Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

RN274524 Issued in OH

Legal business name

SUNRISE HOME HEALTH, LLC

Practice address

2626 Shawnee Rd
Lima, OH 45806-1412

Phone

(567) 712-6304

Fax

(567) 712-6298

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

Molly Place, RN

Title

Owner

Phone

(567) 712-6304

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1629354535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061412",
            "telephone_number": "567-712-6304",
            "fax_number": "567-712-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061412",
            "telephone_number": "567-712-6304",
            "fax_number": "567-712-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-712-6304",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "RN274524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090959",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lima, OH
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• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.