# SUNRISE CARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497226047
- **Authorized official:** MRS. NANCY RODRIGUEZ TAYAG RCFE ADMINISTRATOR (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (510) 481-1300

## Contact information

- **Practice address:** 1447 VIA LUCAS, SAN LORENZO, CA 94580
- **Practice address phone:** (510) 481-1300
- **Practice address fax:** (510) 276-5888
- **Mailing address:** 1447 VIA LUCAS, SAN LORENZO, CA 94580
- **Mailing address phone:** (510) 481-1300
- **Mailing address fax:** (510) 276-5888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2018
- **Last updated:** 12/07/2018