Sunrise Community of Virginia, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SUNRISE COMMUNITY OF VIRGINIA, INC.

Practice address

4085 Chain Bridge Rd
Suite 301
Fairfax, VA 22030-4106

Phone

(703) 359-4430

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Zachary S. Wray

Title

President

Phone

(305) 273-3011

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RIVA Other name

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1659389849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 SW 72ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733432",
            "telephone_number": "305-596-9040",
            "fax_number": "305-598-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 CHAIN BRIDGE RD",
            "address_2": "SUITE 301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304106",
            "telephone_number": "703-359-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY OF VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-273-3011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "004947711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "RIVA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hema Annam Sundaram, M.D.
• Madison Ashlee Sunderland
• Sunflower in-Home Care LLC
• Jae Sung, MD
• Sunrise ABA Services LLC
• Sunrise Health Care Inc
• Sunrise Home Health Care Services LLC
• Sunrise Senior Living
• Sunrise Therapy Services, PLLC
• Michael A Suppa, LCSW

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.