NPIMap

Organization Active NPI

Sunrise Gardens Supported Living LLC

  • Home Health Agency
  • Pickerington, OH
National Provider Identifier
1780155994
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNRISE GARDENS SUPPORTED LIVING LLC
Practice address
247 Fox Glen Dr E
Pickerington, OH 43147-7798
Phone
(614) 364-2023
Fax
(614) 694-2914
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Esther Tataw-Biaka, RNNPI 1235604315
Title
President
Phone
(614) 364-2023

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

247 Fox Glen Dr E
Pickerington, OH 43147-7798

Mailing address

247 Fox Glen Dr E
Pickerington, OH 43147-7798
Phone (419) 787-1425

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1780155994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 FOX GLEN DR E",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477798",
            "telephone_number": "419-787-1425",
            "fax_number": "614-694-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 FOX GLEN DR E",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477798",
            "telephone_number": "614-364-2023",
            "fax_number": "614-694-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE GARDENS SUPPORTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "TATAW-BIAKA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-364-2023",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.