Sunrise Primary Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

007190 Issued in TX

Legal business name

SUNRISE PRIMARY CARE SERVICES

Practice address

3200 Broadway Blvd Ste 260
Garland, TX 75043-1513

Phone

(972) 278-0929

Fax

(972) 278-1399

NPI assigned

Dec 27, 2006

Last updated

Feb 22, 2019By 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

Tom Wightman

Title

VP of Finance

Phone

(972) 278-1414

Specialties & licenses 7

Addresses

Tax ID family

Crest Home Health2 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 Primary Care Services Inc

  dba Crest Home Health

  • Home Health Agency
  • Boerne, TX
  • NPI 1891807277
  NPD tax ID

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1972668937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494727",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750494727",
            "telephone_number": "972-278-1414",
            "fax_number": "972-278-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 260",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431513",
            "telephone_number": "972-278-0929",
            "fax_number": "972-278-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PRIMARY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "WIGHTMAN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-278-1414"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007190",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "007190",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "TX",
            "license": "007190",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "007190",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "TX",
            "license": "007190",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "TX",
            "license": "007190",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "TX",
            "license": "007190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.