Sunrise Consultant Services, Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

041265569 Issued in IL

Legal business name

SUNRISE CONSULTANT SERVICES, INC

Doing business as

Sunrise Clinical Health Services

Practice address

502 W 138TH Street
Riverdale, IL 60827-6082

Phone

(312) 778-4258

Fax

(708) 880-1239

NPI assigned

Jul 20, 2018

Last updated

Jul 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvetta L Massey, YVETTA L MASSEY

Title

MSN, RN

Phone

(708) 880-1397

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise Clinical Health Services Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rhena N Bradley

  • Home Health Aide
  • Riverdale, IL
  • NPI 1174160402
  NPD
• Joseph W Ofisi, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1295057610
  NPD

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1942787189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W 138TH STREET",
            "city": "RIVERDALE",
            "state": "IL",
            "postal_code": "60827",
            "telephone_number": "312-778-4258",
            "fax_number": "708-880-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 138TH STREET",
            "city": "RIVERDALE",
            "state": "IL",
            "postal_code": "608276082",
            "telephone_number": "312-778-4258",
            "fax_number": "708-880-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE CONSULTANT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "YVETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MSN, RN",
        "authorized_official_telephone_number": "708-880-1397",
        "authorized_official_credential": "YVETTA L MASSEY"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "IL",
            "license": "041265569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "12141960",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Clinical Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise Clinical Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SE'Zen Rides LLC
• Monil Pankajbhai Shah, DMD
• Denise Simpson, COTA/L
• Krystal Laraina Sipp, COTA
• Marie Jude Smith
• Yogyaa Sureka
• Thornton Township Youth Committee
• Amara Tyler
• Ucan
• Raish Ahemad Najirbhai Vahora, PHARMD

• Community Health Clinic/Center in Riverdale, IL
• Providers in Riverdale, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.