Provider Demographics
NPI:1437032422
Name:SUNRISE HOMECARE LLC
Entity type:Organization
Organization Name:SUNRISE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN MARCEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASIMIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-283-4481
Mailing Address - Street 1:634 N LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-3306
Mailing Address - Country:US
Mailing Address - Phone:407-283-4481
Mailing Address - Fax:
Practice Address - Street 1:10537 E WASHINGTON ST STE D
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-2662
Practice Address - Country:US
Practice Address - Phone:407-283-4481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care