Sunrise Home Care Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9800001483 Issued in CA

Legal business name

SUNRISE HOME CARE SERVICES, INC

Practice address

941 S Atlantic Blvd Ste 222
Monterey Park, CA 91754

Phone

(626) 289-4200

Fax

(626) 289-4201

NPI assigned

May 7, 2006

Last updated

Dec 19, 2019By 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

Ramona Olivia Molina -Vega, REGISTERED NURSE

Title

President/ Ceo

Phone

(626) 289-4200

Specialties & licenses 1

Addresses

Other names 1

• SUNRISE HOME CARE, INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780633933. Details of each certification follow.

• CCN 058200 Home health agency · Active · Details

Home health agency certification: CCN 058200

Legal name

SUNRISE HOME CARE SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 20, 2003

Last certification

Jan 27, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 22, 2002 in CA

Enrollment address

941S Atlantic Blvd 222
Monterey Park, CA 91754-4722

Listed as

Sunrise Home Care Services IncCCN 058200 · All quality measures

Ownership

Proprietary

Certified

Oct 20, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Victor G. Carabello, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1649293705

  Home health agency

  Care Compare affiliation
• Lisa Ma, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1639125487

  Home health agency

  Care Compare affiliation
• Ramachandran Srinivasan, M.D.

  • Rheumatology Physician
  • Monterey Park, CA
  • NPI 1689865503

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1780633933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 S ATLANTIC BLVD STE 222",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544722",
            "telephone_number": "626-289-4200",
            "fax_number": "626-289-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S ATLANTIC BLVD STE 222",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-289-4200",
            "fax_number": "626-289-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S Atlantic Blvd",
            "address_2": "Suite 168",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917543844",
            "country_code": "US",
            "telephone_number": "626-289-4200",
            "fax_number": "626-289-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNRISE HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "MOLINA -VEGA",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "626-289-4200",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "9800001483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE HOME CARE, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yuandong Sun
• Sumini Sunarjo
• Sung M.D., a Professional Corporation
• Calvin T Sung, MD
• Juin-Bang Sung
• Sunrise Home Health Care Provider, Inc.
• Sunrise Hospice Home Care, Inc.
• Super Care Medical Group Inc
• Haruna Suzuki, RDN
• Swift Medical Transportation

• Home Health Agency in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.