Organization Active NPI

Sunrise Convalescent & Rehabilitation Center, L.P.

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1902857667
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
115271 Issued in TX
Legal business name
SUNRISE CONVALESCENT & REHABILITATION CENTER, L.P.
Doing business as
Sunrise Convalescent & Rehabilitation Center
Practice address
50 Briggs Street
San Antonio, TX 78224
Phone
(210) 921-0184
Fax
(210) 927-2209
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mr. Peter J Licari
Title
President of General Partner
Phone
(215) 441-7700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 115271 TX Primary
Nursing Facility Supplies (DME) 332BN1400X 115271 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 115271 TX

Addresses

Primary practice location

50 Briggs Street
San Antonio, TX 78224

Mailing address

200 Dryden Road, Suite 2000
Dresher, PA 19025-1048
Phone (215) 441-7700

Other identifiers 1

IdentifierTypeStateIssuer
005233MedicaidTX

Other names 1

  • Sunrise Convalescent & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

1650 Susquehanna Rd
Dresher, PA 19025
Phone (215) 283-1123

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1902857667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DRYDEN ROAD, SUITE 2000",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251048",
            "telephone_number": "215-441-7700",
            "fax_number": "215-441-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BRIGGS STREET",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78224",
            "telephone_number": "210-921-0184",
            "fax_number": "210-927-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CONVALESCENT & REHABILITATION CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "LICARI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "215-441-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "115271",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "TX",
            "license": "115271",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "115271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005233",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Convalescent & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.