Provider Demographics
NPI:1447954961
Name:SUNRISE HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:SUNRISE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIRWAIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUGHAL KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-594-0307
Mailing Address - Street 1:8930 ELLENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-1454
Mailing Address - Country:US
Mailing Address - Phone:571-594-0307
Mailing Address - Fax:
Practice Address - Street 1:8930 ELLENWOOD LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-1454
Practice Address - Country:US
Practice Address - Phone:571-594-0307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health