Central Georgia Adult Day Health & Rehab, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CENTRAL GEORGIA ADULT DAY HEALTH & REHAB, INC

Doing business as

Sunrise Homecare Services

Practice address

770 Baconsfield Dr
Macon, GA 31211-1400

Phone

(487) 714-3285

NPI assigned

Dec 19, 2014

Last updated

Jan 3, 2022By 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

Kalpesh G Shah

Title

President

Phone

(487) 714-3285

Specialties & licenses 2

Addresses

Other names 1

• SUNRISE HOMECARE SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861890022. Details of each certification follow.

• CCN 114540 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 114540

Legal name

CENTRAL GEORGIA ADULT DAY HEALTH & REHAB

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Aug 1, 2017

Last certification

Aug 1, 2017

Ownership / control type

Proprietary

Facility address

770 Baconsfield Drive
Macon, GA 31211

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1861890022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BACONSFIELD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111400",
            "telephone_number": "487-714-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BACONSFIELD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111400",
            "telephone_number": "487-714-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA ADULT DAY HEALTH & REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "487-714-3285"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE HOMECARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Macon, GA
• Providers in Macon, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.