- Enrollment id
- O20190927001339
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1679098115
- Multiple npi flag
- N
- Ccn
- 559211
- Associate id
- 2163752551
- Organization name
- SUNRISE HOME CARE INC
- Incorporation date
- 2017-04-06
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9003 RESEDA BLVD
- Address line 2
- STE 202A
- City
- NORTHRIDGE
- State
- CA
- Zip code
- 913243920
- Practice location type
- HHA BRANCH