MEDICARE: SUNRISE HEALTH SERVICES 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	327775	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5900108	OTHER	MN	MEDICA
2	70418	OTHER	MN	HEALTH PARTNERS
3	129413	OTHER	MN	UCARE
4	180021	OTHER	MN	UCARE EW
5	5C46SU	OTHER	MN	BC BS
6	180020	OTHER	MN	UCARE PCA

General Provider Information

NPI Number	:	1699770909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	22350 SUNRISE RD NE
Second Line	:
City	:	STACY
State	:	MN
Zip	:	55079-9383
Country	:	US
Telephone Number	:	651-462-9331
Fax Number	:	651-462-5761

Provider Business Practice Location Address
First Line	:	22350 SUNRISE RD NE
Second Line	:
City	:	STACY
State	:	MN
Zip	:	55079-9383
Country	:	US
Telephone Number	:	651-462-9331
Fax Number	:	651-462-5761

Authorized Official
Title or Position	:	CFO OWNER
Name	:	MR. PAUL ANDERSON
Credential	:
Telephone Number	:	651-462-9331

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/22/2020

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Directions to “SUNRISE HEALTH SERVICES INC ” Practice Location

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