MEDICARE: SUNRISE COMMUNITY 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821321845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE COMMUNITY INC.

Provider Business Mailing Address
First Line	:	9040 SUNSET DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3432
Country	:	US
Telephone Number	:	305-596-9040
Fax Number	:	305-598-8240

Provider Business Practice Location Address
First Line	:	6324 CORPORATE CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3507
Country	:	US
Telephone Number	:	239-482-4459
Fax Number	:

Authorized Official
Title or Position	:	BOARD SECRETARY/C.F.O.
Name	:	DR. JAMES WEEKS
Credential	:
Telephone Number	:	305-273-3024

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	09/09/2009

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Directions to “SUNRISE COMMUNITY INC. ” Practice Location

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