Sunrise Home Care,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUNRISE HOME CARE,INC.

Practice address

99 C St Ste 202
Upland, CA 91786-8305

Phone

(909) 920-3114

Fax

(909) 920-3115

NPI assigned

Aug 5, 2017

Last updated

Jul 21, 2022By 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. Akop Baltayan

Title

Ceo

Phone

(909) 920-3114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679098115. Details of each certification follow.

• CCN 559211 Home health agency · Active · Details

Home health agency certification: CCN 559211

Legal name

SUNRISE HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 27, 2020

Last certification

Mar 27, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 6, 2017 in CA

Enrollment address

9003 Reseda Blvd
Ste 202a
Northridge, CA 91324-3920
HHA Branch

Listed as

Sunrise Home Care, IncCCN 559211 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Mar 27, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ma Alyssa Maye P. Bello

  • Home Health Agency
  • Upland, CA
  • NPI 1558224592
  NPD

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• James Leonard Anastasi, M.D.

  • Legal Medicine
  • Santa Monica, CA
  • NPI 1649280074

  Home health agency

  Care Compare affiliation
• Susan Louise Charette, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1447285341

  Home health agency

  Care Compare affiliation
• Anna Melkonyan Lafian, D.O.

  • Rheumatology Physician
  • Glendale, CA
  • NPI 1700206182

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679098115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 C ST STE 202",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868305",
            "telephone_number": "909-920-3114",
            "fax_number": "909-920-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 C ST STE 202",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868305",
            "telephone_number": "909-920-3114",
            "fax_number": "909-920-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOME CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BALTAYAN",
        "authorized_official_first_name": "AKOP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-920-3114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.