MEDICARE: SUNRISE GUEST HOME 1 & 2

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	347000538	CA
2	310400000X	Assisted Living Facility	347001937	CA

General Provider Information

NPI Number	:	1063697829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE GUEST HOME 1 & 2

Provider Business Mailing Address
First Line	:	8705 GREAT CT
Second Line	:	8818 SHARKEY AVE
City	:	ELK GROVE
State	:	CA
Zip	:	95624-1873
Country	:	US
Telephone Number	:	916-714-0853
Fax Number	:	916-685-6910

Provider Business Practice Location Address
First Line	:	8818 SHARKEY AVE
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95624-1873
Country	:	US
Telephone Number	:	916-714-0853
Fax Number	:	916-685-6910

Authorized Official
Title or Position	:	LICENSEE/ADMINISTRATOR
Name	:	MRS. MYRNA QUE DESCARGAR
Credential	:	LVN
Telephone Number	:	916-714-0853

Provider Enumeration Date	:	12/29/2007
Last Update Date	:	06/23/2008

Similar Medicare Providers

1336083468 — 5M CARE LLC
Practice Location Address:

8705 GREAT CT
ELK GROVE, CA
95624-1873

Practice Phone: 916-914-5119
Practice Fax: 916-647-9345

1538502513 — SUNRISE GUEST HOME, INC.
Practice Location Address:

8705 GREAT CT
ELK GROVE, CA
95624-1873

Practice Phone: 916-685-6910
Practice Fax:

1821482217 — BEST CARE LLC
Practice Location Address:

8705 GREAT CT
ELK GROVE, CA
95624-1873

Practice Phone: 916-307-9603
Practice Fax:

1679929640 — MS. TANYA ANNE LAMBERT MS, LPCC
Practice Location Address:

508 FREEPORT AVE NW , SUITE D
ELK RIVER, MN
55330-1873

Practice Phone: 763-441-1578
Practice Fax: 763-441-1740

1518469352 — KRISTOPHER KLEIN CLEMENO
Practice Location Address:

9355 E STOCKTON BLVD STE 100
ELK GROVE, CA
95624-9476

Practice Phone: 916-683-1109
Practice Fax: 916-683-1140

1316639461 — DEMERIEL RACHEL LEWIS
Practice Location Address:

9340 E STOCKTON BLVD
ELK GROVE, CA
95624-1558

Practice Phone: 916-509-8199
Practice Fax:

Directions to “SUNRISE GUEST HOME 1 & 2 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.