Sunrise Community, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Goulds, FL
NPI 1831243641 · NPPES record last updated May 27, 2020
Key facts
- NPI
- 1831243641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- SUNRISE COMMUNITY, INC.
- Practice address
- 22300 SW 162ND Ave
Goulds, FL 33170-3907 - Phone
- (305) 242-0600
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Ana Karina Garcia
- Title
- Accounts Receivable Manager
- Phone
- (305) 273-3047
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Sunrise Community Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
22300 SW 162ND Ave
Goulds, FL 33170-3907
Mailing address
22300 SW 162ND Ave
Goulds, FL 33170-3907
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U028518800 | Medicaid | FL |
Other names
- Sunrise Group Home #3
Other providers in Goulds, FL
- Jennifer Vannessa Quintanilla
- Mariam Qureshi
- Melissa Antonia Rodriguez
- Sunrise Community, Inc.
- Sunrise Community, Inc.
- Evelyn Maria Tatum
- Yadelys Teran
- Dalgis Travieso
- Daniela Fernanda Trujillo
- Unity Home Health Solutions
All providers in Goulds, FL · Intellectual Disabilities Intermediate Care Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.