Organization Active NPI

Sunrise Community Services LLC

  • Home Health Agency
  • Edison, NJ
National Provider Identifier
1639868284
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNRISE COMMUNITY SERVICES LLC
Practice address
100 Plainfield Ave Ste 4B
Edison, NJ 08817-6701
Phone
(858) 564-4649
NPI assigned
May 1, 2023
Organization subpart
Yes
Parent organization
SUNRISE COMMUNITY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Fatmata Shaw
Title
Director
Phone
(240) 280-4082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

100 Plainfield Ave Ste 4B
Edison, NJ 08817-6701

Mailing address

100 Plainfield Ave Ste 4B
Edison, NJ 08817-6701

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Community Services LLC2 organizations share this tax ID, including this one
Part of
Sunrise Community Services LLC

Other organizations with this tax ID 1

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

Locations

100 Plainfield Ave
Ste 4B
Edison, NJ 08817
Phone (732) 777-0024

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1639868284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLAINFIELD AVE STE 4B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088176701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLAINFIELD AVE STE 4B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088176701",
            "telephone_number": "858-564-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE COMMUNITY SERVICES LLC",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "FATMATA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-280-4082"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.