Sunrise Residential Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SUNRISE RESIDENTIAL CARE LLC

Doing business as

Sunrise Residential Care LLC

Practice address

1947 Zachary LN
Indianapolis, IN 46231-1079

Phone

(319) 521-0642

NPI assigned

Nov 23, 2023

Last updated

Nov 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Moise Ntwari

Title

Program Manager

Phone

(317) 525-4780

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Residential Care LLC Doing business as

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

{
    "created_epoch": "1700697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700697600000",
    "number": "1770358350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6743 EASTLAND DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127492",
            "telephone_number": "317-525-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 ZACHARY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462311079",
            "telephone_number": "319-521-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-23",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-23",
        "status": "A",
        "authorized_official_last_name": "NTWARI",
        "authorized_official_first_name": "MOISE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "317-525-4780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Residential Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.