Sunrise Community of Tennessee, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

L000000015489 Issued in TN

Legal business name

SUNRISE COMMUNITY OF TENNESSEE, INC.

Practice address

640 Old Shiloh Rd
Greeneville, TN 37745-0556

Phone

(423) 329-3973

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Karen Davidson, MACC

Title

Secretary/Treasurer/Cfo

Phone

(305) 273-3023

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sunrise Community of Tennessee Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sunrise Community of Tennessee, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Knoxville, TN
  • NPI 1093091274
  NPD tax ID

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1891221271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733432",
            "telephone_number": "305-596-9040",
            "fax_number": "305-275-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 OLD SHILOH RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377450556",
            "telephone_number": "423-329-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER/CFO",
        "authorized_official_telephone_number": "305-273-3023",
        "authorized_official_credential": "MACC"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TN",
            "license": "L000000015489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE DEPARTMENT OF INTELLECTUAL & DEVELOPMENTAL DISABILITIES",
            "identifier": "L000000015489",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Summit Medical Group, PLLC
• Susong Pharmacy Inc
• Susong-Sydnor Inc
• Emily Susong, PA-C
• Claes U Svendsen, MD
• Kayla Swanay, DVM

• Intellectual Disabilities Intermediate Care Facility in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Intellectual Disabilities Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.