MEDICARE: SUNRISE HOME HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518290063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE HOME HEALTH INC

Provider Business Mailing Address
First Line	:	4418 VINELAND AVE
Second Line	:	SUITE 202
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-3457
Country	:	US
Telephone Number	:	818-763-4320
Fax Number	:	818-763-4321

Provider Business Practice Location Address
First Line	:	4418 VINELAND AVE
Second Line	:	SUITE 202
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-3457
Country	:	US
Telephone Number	:	818-763-4320
Fax Number	:	818-763-4321

Authorized Official
Title or Position	:	CEO
Name	:	MRS. ARMINE MARGARYAN
Credential	:
Telephone Number	:	818-763-4320

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	04/22/2015

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Directions to “SUNRISE HOME HEALTH INC ” Practice Location

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