Healthcare Provider Details

I. General information

NPI: 1760949267
Provider Name (Legal Business Name): SUNRISE TRANSITIONAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2863 CARMEN AVE
LIVERMORE CA
94550-4808
US

IV. Provider business mailing address

52 OBSIDIAN WAY
LIVERMORE CA
94550-9470
US

V. Phone/Fax

Practice location:
  • Phone: 925-989-3345
  • Fax: 925-380-1668
Mailing address:
  • Phone: 925-989-3345
  • Fax: 925-380-1668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW P GARCIA
Title or Position: CEO
Credential:
Phone: 925-989-3345