Sunrise Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUNRISE HEALTHCARE SERVICES LLC

Practice address

167 Primrose CT
Vadnais Heights, MN 55127-6154

Phone

(763) 639-9537

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Wilson K Mabwai, RN

Title

Don

Phone

(763) 639-9537

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1881362986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270125",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551270125",
            "telephone_number": "763-639-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 PRIMROSE CT",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551276154",
            "telephone_number": "763-639-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "MABWAI",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "763-639-9537",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward T Su, MD
• Suite Living Senior Care of Vadnais Heights
• Lisa Sullivan, PA-C
• Summit Orthopedics, LTD
• Summit Orthopedics, LTD
• Deborah Ann Tatge, MS, CCC-SLP
• Makayla Sherrell Taylor
• Julie Guenther Tebben, CNP
• Bridgett Tegen, OTR
• The Four Kings Men LLC

• Home Health Agency in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.