Active NPI
Sunrise Hills, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Hampton, GA
National Provider Identifier
1679852677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- PCH006870
- Legal business name
- SUNRISE HILLS, LLC
- Practice address
- 12592 Simmons Rd
Hampton, GA 30228-6102 - Phone
- (404) 767-7737
- Fax
- (404) 521-4527
- NPI assigned
- Aug 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melinda D Richards
- Title
- Ceo
- Phone
- (404) 767-7737
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | PCH006870 | GA | Primary |
| Physical Disabilities Residential Treatment Facility | 320700000X | PCH006870 | GA |
Addresses
Primary practice location
12592 Simmons Rd
Hampton, GA 30228-6102
Mailing address
265 Redding RDG
College Park, GA 30349-8027
Phone (404) 767-7737
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312761600000",
"number": "1679852677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 REDDING RDG",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303498027",
"telephone_number": "404-767-7737",
"fax_number": "404-521-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12592 SIMMONS RD",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302286102",
"telephone_number": "404-767-7737",
"fax_number": "404-521-4527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE HILLS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-767-7737",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "GA",
"license": "PCH006870",
"primary": true
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "GA",
"license": "PCH006870",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.