Sunrise Home Facility I

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH5605 Issued in AZ

Legal business name

SUNRISE HOME FACILITY I

Practice address

11002 North 66TH Street
Scottsdale, AZ 85254

Phone

(480) 367-9117

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Lida Cubillos

Title

Ceo

Phone

(480) 367-9117

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Home FAcility II Other name

Tax ID family

Sunrise Home Facility I2 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.

• Sunrise Home Facility I

  • Assisted Living Facility
  • Scottsdale, AZ
  • NPI 1700088150
  NPD tax ID

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720281942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11002 NORTH 66TH STREET",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-367-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11002 NORTH 66TH STREET",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-367-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOME FACILITY I",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUBILLOS",
        "authorized_official_first_name": "LIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-367-9117"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH5605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Home FAcility II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jana Sundin, LMSW
• Michelle Sung, MD
• Sunnyside West
• Sunridge Medical Wellnes Center
• Sunrise Home Facility I
• Sunrise Home Facility II
• Sunrise Native Recovery, LLC
• Sunrise Native Wellness LLC
• Sunshine Anesthesia PLLC
• Sunshine Behavioral Home LLC

• Assisted Living Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.