MEDICARE: SUNRISE SERVICES, INC.

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073998019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 2569
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98213-0569
Country	:	US
Telephone Number	:	425-212-4211
Fax Number	:	425-347-0492

Provider Business Practice Location Address
First Line	:	1908 RIVERSIDE DR
Second Line	:
City	:	MOUNT VERNON
State	:	WA
Zip	:	98273-5411
Country	:	US
Telephone Number	:	425-241-4211
Fax Number	:	425-347-0492

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SUE A CLOSSER
Credential	:
Telephone Number	:	425-214-4211

Provider Enumeration Date	:	07/20/2015
Last Update Date	:	09/01/2022

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