# SUNRISE IN-HOME CARE LLC

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

## Provider details

- **NPI number:** 1578122818
- **Authorized official:** MARK M SHIHADY (PARTNER)
- **Authorized official phone:** (866) 878-6747

## Contact information

- **Practice address:** 410 MARKET ST, WARREN, PA 16365-1764
- **Practice address phone:** (866) 878-6747
- **Practice address fax:** (866) 878-6747
- **Mailing address:** PO BOX 744, WARREN, PA 16365-0744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2019
- **Last updated:** 07/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103450501-0001 | — | PA |