Provider Demographics
NPI:1588264634
Name:SUNRISE HOSPICE CARE INC
Entity type:Organization
Organization Name:SUNRISE HOSPICE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KECHEJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-235-3840
Mailing Address - Street 1:8275 S EASTERN AVE STE 261
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2519
Mailing Address - Country:US
Mailing Address - Phone:725-235-3840
Mailing Address - Fax:
Practice Address - Street 1:8275 S EASTERN AVE STE 261
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2519
Practice Address - Country:US
Practice Address - Phone:725-235-3840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-28
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based