NPIMap

Organization Active NPI

Sunrise Community, Inc

Doing business as 62nd Place

  • Intellectual Disabilities Intermediate Care Facility
  • Hialeah, FL
National Provider Identifier
1891863064
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SUNRISE COMMUNITY, INC
Doing business as
62nd Place
Practice address
19963 NW 62ND PL
Hialeah, FL 33015-2168
Phone
(305) 625-9545
NPI assigned
Dec 4, 2006
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Ana Karina Garcia
Title
Accounts Receivable Manager
Phone
(305) 273-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

19963 NW 62ND PL
Hialeah, FL 33015-2168

Mailing address

19963 NW 62ND PL
Hialeah, FL 33015-2168

Other identifiers 1

IdentifierTypeStateIssuer
U028547100MedicaidFL

Other names 1

  • 62nd Place Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891863064. Details of each certification follow.

  • CCN 10G095 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 10G095

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SUNRISE COMMUNITY, INC
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 8, 1993
Last certification
May 9, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
19963 NW 62ND Place
Miami Lakes, FL 33015

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Community Inc57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1891863064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19963 NW 62ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19963 NW 62ND PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152168",
            "telephone_number": "305-625-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "KARINA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "305-273-3047"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U028547100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "62nd Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "62nd Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.