Sunrise Retirement Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNRISE RETIREMENT HOME LLC

Practice address

4201 70TH Ave North
Pinellas Park, FL 33781

Phone

(727) 623-4156

Fax

(727) 520-9314

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Maria Elsie Tumaob Labios

Title

Owner/Administrator

Phone

(727) 550-6468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1932722139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTHEAST LINCOLN CIRCLE NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-550-6488",
            "fax_number": "727-520-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 70TH AVE NORTH",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33781",
            "telephone_number": "727-623-4156",
            "fax_number": "727-520-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RETIREMENT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "LABIOS",
        "authorized_official_first_name": "MARIA ELSIE",
        "authorized_official_middle_name": "TUMAOB",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "727-550-6468",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.