Sunrise Senior Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SUNRISE SENIOR HOME

Practice address

1820 224TH St SW
Bothell, WA 98021-9214

Phone

(206) 235-1402

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Daniel Ghebre, REGISTERED NURSENPI 1578932372

Title

Owner

Phone

(206) 235-1402

Specialties & licenses 2

Addresses

Practitioners 1

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

• Daniel Ghebre

  • Registered Nurse
  • Bothell, WA
  • NPI 1578932372
  NPD Authorized official

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1760043350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 168TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373233",
            "telephone_number": "206-235-1402",
            "fax_number": "206-420-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 224TH ST SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219214",
            "telephone_number": "206-235-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SENIOR HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "GHEBRE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-235-1402",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Kay Stultz, MA, MED, LMHCA, EDSP
• Peggy Ann Hurd Sturm, RN
• Hanna Sulek
• Kathleen Sue Sullivan, L.M.P
• Sunrise ABA of Washington LLC
• Arti Surve
• Kristene Suyematsu
• Traci N Svee, OT
• Ethan Svendsen
• Molly Sweeney

• Adult Care Home Facility in Bothell, WA
• Providers in Bothell, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.