Healthcare Provider Details

I. General information

NPI: 1336719756
Provider Name (Legal Business Name): SUNRISE HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11211 WAPLES MILL RD STE 330
FAIRFAX VA
22030-7406
US

IV. Provider business mailing address

11211 WAPLES MILL RD STE 330
FAIRFAX VA
22030-7406
US

V. Phone/Fax

Practice location:
  • Phone: 571-606-7299
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JEONG HONG
Title or Position: PRESIDENT
Credential:
Phone: 571-207-6630