NPIMap

Organization Active NPI

Sunrise Mountain Healthcare LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Peoria, AZ
National Provider Identifier
1689228520
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
SUNRISE MOUNTAIN HEALTHCARE LLC
Practice address
10323 W Olive Ave
Peoria, AZ 85345-7345
Phone
(623) 875-0100
Fax
(623) 875-0110
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

10323 W Olive Ave
Peoria, AZ 85345-7345

Mailing address

10323 W Olive Ave
Peoria, AZ 85345-7345
Phone (623) 875-0100

Other names 1

  • Rio Vista Post Acute and Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Az - Rio Vista Post Acute and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1689228520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 W OLIVE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457345",
            "telephone_number": "623-875-0100",
            "fax_number": "623-875-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 W OLIVE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457345",
            "telephone_number": "623-875-0100",
            "fax_number": "623-875-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MOUNTAIN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Vista Post Acute and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rio Vista Post Acute and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.