Provider Demographics
NPI:1447606850
Name:SUNRISE LTD.
Entity type:Organization
Organization Name:SUNRISE LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-ONWER/MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALAH
Authorized Official - Middle Name:
Authorized Official - Last Name:IDRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-937-6069
Mailing Address - Street 1:9953 SULLY CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1459
Mailing Address - Country:US
Mailing Address - Phone:719-301-9191
Mailing Address - Fax:719-309-1391
Practice Address - Street 1:9953 SULLY CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1459
Practice Address - Country:US
Practice Address - Phone:719-301-9191
Practice Address - Fax:719-309-1391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)