Healthcare Provider Details

I. General information

NPI: 1124936406
Provider Name (Legal Business Name): SUNRISE HAPPY DAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8071 W EUGIE AVE
PEORIA AZ
85381-4111
US

IV. Provider business mailing address

8071 W EUGIE AVE
PEORIA AZ
85381-4111
US

V. Phone/Fax

Practice location:
  • Phone: 602-802-4536
  • Fax:
Mailing address:
  • Phone: 602-802-4536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM KIZA
Title or Position: ADMIN
Credential:
Phone: 602-802-4536