Organization Active NPI

Sun-Rise Community Services

  • Case Manager/Care Coordinator
  • Las Vegas, NV
National Provider Identifier
1790280238
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SUN-RISE COMMUNITY SERVICES
Practice address
3530 E Flamingo Rd Ste 100a
Las Vegas, NV 89121-5091
Phone
(702) 570-1720
NPI assigned
Mar 27, 2018
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Tiffany Liles
Title
Executive Director
Phone
(702) 818-9114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

3530 E Flamingo Rd Ste 100a
Las Vegas, NV 89121-5091

Mailing address

3530 E Flamingo Rd Ste 100a
Las Vegas, NV 89121-5091
Phone (702) 570-1720

National Provider Directory

National Provider Directory

Locations

3530 E Flamingo Rd
Ste 100A
Las Vegas, NV 89121
Phone (702) 570-1720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1790280238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 E FLAMINGO RD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215091",
            "telephone_number": "702-570-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 E FLAMINGO RD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215091",
            "telephone_number": "702-570-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN-RISE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-818-9114"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.