GL&Son LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

GL&SON LLC

Doing business as

Sunrise ICF DD-N

Practice address

8010 Sunrise Blvd
Citrus Heights, CA 95610-1533

Phone

(916) 786-3860

Fax

(916) 722-8284

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Godofredo Patawaran

Title

Ceo

Phone

(916) 786-3860

Specialties & licenses 2

Addresses

Other names 1

• Sunrise ICF DD-N Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G795

Legal name

SUNRISE ICF DD-N

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 22, 2021

Last certification

Feb 26, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

8010 Sunrise Blvd
Citrus Heights, CA 95610

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1790298859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956101533",
            "telephone_number": "916-786-3860",
            "fax_number": "916-722-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956101533",
            "telephone_number": "916-786-3860",
            "fax_number": "916-722-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GL&SON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PATAWARAN",
        "authorized_official_first_name": "GODOFREDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-786-3860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise ICF DD-N",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaspreet Gill
• Jonathan G Gilleland
• Kenneth Michael Gillespie
• Angel Gloria Gilliard
• Aniyah Da'Kai Gilmore
• Glorious Homes LLC
• Silvia Patricia Godoy Plata
• Farid Gogani, DDS
• Susan Lynn Gohn, RN
• Christina Ann Golden

• Intellectual Disabilities Intermediate Care Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.