Healthcare Provider Details
I. General information
NPI: 1700185832
Provider Name (Legal Business Name): SUNRISE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2011
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7003 EVERGREEN WAY
EVERETT WA
98203-5153
US
IV. Provider business mailing address
PO BOX 2569
EVERETT WA
98213-0569
US
V. Phone/Fax
- Phone: 425-212-4200
- Fax:
- Phone: 425-212-4200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | MTSW.FS.00001985 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUE
CLOSSER
Title or Position: OWNER
Credential:
Phone: 425-212-4211