Healthcare Provider Details

I. General information

NPI: 1881641082
Provider Name (Legal Business Name): SUNRISE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 09/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 MEARNS RD
WARMINSTER PA
18974-1195
US

IV. Provider business mailing address

1822 MEARNS RD
WARMINSTER PA
18974-1195
US

V. Phone/Fax

Practice location:
  • Phone: 215-956-9080
  • Fax: 215-956-9617
Mailing address:
  • Phone: 215-956-9080
  • Fax: 215-956-9617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number09593659
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number09593659
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number09593659
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number09593659
License Number StatePA

VIII. Authorized Official

Name: MR. BRYAN D. GILLER
Title or Position: PRESIDENT
Credential:
Phone: 215-956-9080