Sunrise Residential Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNRISE RESIDENTIAL SERVICES LLC

Practice address

216 Maple LN
Roseville, MN 55113-2429

Phone

(651) 528-6363

Fax

(612) 314-8590

NPI assigned

Nov 4, 2022

Organization subpart

No

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

Authorized official

Name

Mustafa H Musse

Title

Director

Phone

(952) 465-8087

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1871200121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MAPLE LN",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132429",
            "telephone_number": "651-528-6363",
            "fax_number": "612-314-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MAPLE LN",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132429",
            "telephone_number": "651-528-6363",
            "fax_number": "612-314-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "MUSSE",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-465-8087"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph P. Sundeen
• Lauren Sundick, RPA-C
• Sundog Enterprises
• Shelby Marie Sundre, NP-C
• Sunrise Residential Services LLC
• Sunshine Home Healthcare LLC
• Supervalu Pharmacies Inc
• Supervalu Pharmacies Inc
• Supportive Change Counseling & Consulting
• Blanca Estela Svedberg, LPCC

• Assisted Living Facility in Roseville, MN
• Providers in Roseville, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.