Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SUNRISE RESIDENTIAL SERVICES LLC
Active
Organization
SUNRISE RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUFAH HASSAN MOALLIN (OWNER/MANAGER)
(206) 458-3553
Entity
Organization
Contact information
Practice address
216 MAPLE LN, ROSEVILLE, MN 55113
(206) 458-3553
Mailing address
216 MAPLE LN, ROSEVILLE, MN 55113
(206) 458-3553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
385493
MN
253Z00000X
In Home Supportive Care Agency
1091521
MN
310400000X
Assisted Living Facility
Primary
—
—
332U00000X
Home Delivered Meals
1091521
MN
Other
Enumeration date
03/02/2018
Last updated
08/16/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up