- Enrollment id
- O20180718002322
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1851818041
- Multiple npi flag
- N
- Ccn
- 559500
- Associate id
- 0749537090
- Organization name
- SUNRISE HOME HEALTH CARE
- Incorporation date
- 2017-05-10
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 5301 LAUREL CANYON BLVD
- Address line 2
- STE 140
- City
- VALLEY VILLAGE
- State
- CA
- Zip code
- 916072771