Healthcare Provider Details

I. General information

NPI: 1184338295
Provider Name (Legal Business Name): NEW SUNRISE HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2023
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 RESEDA BLVD
NORTHRIDGE CA
91324-2926
US

IV. Provider business mailing address

10235 FALUN DR
SUN VALLEY CA
91352-3614
US

V. Phone/Fax

Practice location:
  • Phone: 818-701-0010
  • Fax: 818-960-0230
Mailing address:
  • Phone: 818-480-0557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LENA HAROUTUNIAN
Title or Position: CEO
Credential:
Phone: 818-480-0557