NPIMap

Organization Active NPI

Sunrise Home Health Care, Inc

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1740640846
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNRISE HOME HEALTH CARE, INC
Practice address
1011 W Broadway Ave Ste 218
Minneapolis, MN 55411-2565
Phone
(612) 236-4179
Fax
(612) 260-2282
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Abduahman W JamaNPI 1932575636
Title
President
Phone
(952) 288-1135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

1011 W Broadway Ave Ste 218
Minneapolis, MN 55411-2565

Mailing address

1011 W Broadway Ave Ste 218
Minneapolis, MN 55411-2565
Phone (612) 236-4179

Other identifiers 2

IdentifierTypeStateIssuer
1740640846MedicaidMN
4157452MedicaidMN

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Minneapolis
CONNECT URL Minneapolis

National Provider Directory

National Provider Directory

Locations

1011 W Broadway Ave
Ste 218
Minneapolis, MN 55411
Phone (612) 236-4179

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1740640846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W BROADWAY AVE STE 218",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112565",
            "telephone_number": "612-236-4179",
            "fax_number": "612-260-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W BROADWAY AVE STE 218",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112565",
            "telephone_number": "612-236-4179",
            "fax_number": "612-260-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2023-09-06",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "ABDUAHMAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-288-1135"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740640846",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4157452",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "address_1": "1011 W Broadway Ave Ste 218",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554112565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Minneapolis",
            "affiliation": "N",
            "address_1": "1011 W Broadway Ave Ste 218",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554112565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.