- Enrollment id
- O20220922000168
- Enrollment state
- FL
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1235882622
- Multiple npi flag
- N
- Ccn
- 105441
- Associate id
- 4880079102
- Organization name
- SUNRISE NURSING HOME OPERATIONS COMPANY LLC
- Doing business as name
- SUNRISE HEALTH AND REHABILITATION CENTER
- Incorporation date
- 2022-01-11
- Incorporation state
- FL
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- SUNRISE HEALTH & REHABILITATION CENTER
- Affiliation entity name
- MICHAEL FEIST
- Affiliation entity id
- 769
- Address line 1
- 4800 N NOB HILL ROAD
- City
- SUNRISE
- State
- FL
- Zip code
- 333514722