Healthcare Provider Details

I. General information

NPI: 1235882622
Provider Name (Legal Business Name): SUNRISE NURSING HOME OPERATIONS COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 N NOB HILL RD
SUNRISE FL
33351-4722
US

IV. Provider business mailing address

270 MADISON AVE
NEW YORK NY
10016-0601
US

V. Phone/Fax

Practice location:
  • Phone: 954-577-3600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MICHAEL FEIST
Title or Position: PRESIDENT
Credential:
Phone: 631-525-6693