MEDICARE: SUNRISE COMMUNITY, 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	315P00000X	Intellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number	:	1285591115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE COMMUNITY, INC.

Provider Business Mailing Address
First Line	:	9040 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3432
Country	:	US
Telephone Number	:	305-273-3047
Fax Number	:	305-275-3345

Provider Business Practice Location Address
First Line	:	325 N FREDERICK AVE
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-2909
Country	:	US
Telephone Number	:	305-273-3047
Fax Number	:	305-275-3345

Authorized Official
Title or Position	:	DIRECTOR OF REVENUE CYCLE
Name	:	ANA GARCIA
Credential	:
Telephone Number	:	305-273-3047

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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