SUNRISE LIFESTYLE CENTERS LLC (NPI# 1023075561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023075561 |
| Entity Type | Organization |
| Organization Name | SUNRISE LIFESTYLE CENTERS LLC |
| Other Organization Name | SUNRISE HEALTH CENTERS |
| Practice Address |
658 Kenilworth Dr Suite 100 Towson MD 21204-2312 |
| Mailing Address |
40 Skokie Blvd Suite 440 Northbrook IL 60062-1601 |
| Practice Telephone | 4102964901 |
| Practice Fax Number | 4102964971 |
| Mailing Telephone | 8476560353 |
| Mailing Fax Number | 8476560358 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | JEFF T GRADE (CEO) |
| Authorized Official Telephone | 8476560353 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNRISE LIFESTYLE CENTERS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE PROVIDER # | 21-4530 | 01 |
| Other Name | Type Code |
|---|---|
| Sunrise Health Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801853445 | Sunrise Lifestyle Centers LLC | Clinic/Center | 4848 S 76th St, Suite 203, Greenfield, WI 53220-4361 | 2006-04-27 |
| 1073570594 | Sunrise Lifestyle Centers LLC | Clinic/Center | 8 Saddle Rd, Suite 202, Cedar Knolls, NJ 07927-1902 | 2006-04-27 |
| Street Address |
658 KENILWORTH DR SUITE 100 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965185 | Audra Rachel Stern | Physical Therapist | 658 Kenilworth Dr, Suite 100, Towson, MD 21204-2312 | 2005-07-08 |
| 1952841678 | Leslie Wagner | Social Worker | 658 Kenilworth Dr, Suite 206, Towson, MD 21204-2312 | 2017-02-28 |
| 1528411725 | Quinton Myers Sr. | Nurse Practitioner | 658 Kenilworth Dr, Suite 206, Towson, MD 21204-2312 | 2016-07-22 |
| 1114318094 | Ancient Widom Healing Arts | Acupuncturist | 658 Kenilworth Dr, Suite #102, Towson, MD 21204-2312 | 2015-02-12 |
| 1124418876 | Steven Wilson Broussard | Acupuncturist | 658 Kenilworth Dr, Towson, MD 21204-2312 | 2015-02-03 |
| 1548682305 | Sarah R Rixham | Physical Therapist | 658 Kenilworth Dr, Ste 100, Towson, MD 21204-2312 | 2014-01-14 |
| 1700208956 | Dental One Associates Kenilworth LLC | Dentist | 658 Kenilworth Dr, 210, Towson, MD 21204-2312 | 2014-01-07 |
| 1437499795 | Kristin Henry | Physical Therapist | 658 Kenilworth Dr, Suite 100, Towson, MD 21204-2312 | 2013-02-25 |
| 1508103862 | Life Fitness Physical Therapy LLC | Physical Therapist | 658 Kenilworth Dr, Suite 100, Towson, MD 21204-2312 | 2013-01-07 |
| 1982940565 | Carey Custer | Physical Therapy Assistant | 658 Kenilworth Dr, Suite 100, Towson, MD 21204-2312 | 2012-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1346735438 | Eva Health Services LLC | Clinic/Center | 405 Frederick Rd Ste 1, Catonsville, MD 21228-4607 | 2018-06-29 |
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| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1740707140 | Global Healthcare Systems, Inc | Clinic/Center | 1045 Taylor Ave Ste 104, Baltimore, MD 21286-8315 | 2017-08-25 |
| 1962893768 | St Paul & Biddle Medical Assoc. | Clinic/Center | 1721 Ramblewood Rd, Baltimore, MD 21239-3040 | 2015-02-15 |
| 1053648691 | Care Consultants | Clinic/Center | 7902 Old Branch Ave Ste 109, Clinton, MD 20735-1646 | 2009-11-03 |
| 1598969792 | Certified Counseling Services, Inc. of Clinton | Clinic/Center | 7911 Old Branch Ave, Second Floor, Clinton, MD 20735-1635 | 2007-06-12 |
| 1912952888 | Sky Neurological Rehabilitation LLC | Clinic/Center | 190 Admiral Cochrane Dr, Suite 180, Annapolis, MD 21401-7365 | 2006-05-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.