Provider Demographics
NPI:1871118786
Name:SUNRISE GARDENS OF DUNEDINLLC
Entity type:Organization
Organization Name:SUNRISE GARDENS OF DUNEDINLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFF
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-453-1970
Mailing Address - Street 1:534 HOWELL ST
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-4925
Mailing Address - Country:US
Mailing Address - Phone:727-453-1970
Mailing Address - Fax:727-444-0573
Practice Address - Street 1:534 HOWELL ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-4925
Practice Address - Country:US
Practice Address - Phone:727-453-1970
Practice Address - Fax:727-444-0573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility