SUNRISE I NPI 1891952719

NPI Information

  • NPI: 1891952719
  • Provider Name: SUNRISE I
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 627 WILSON AVE
    NOVATO, CA
    ZIP 94947
  • Phone: (415) 472-2373

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NPI Details

SUNRISE I is an intermediate care facility mentally retarded in Novato, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SUNRISE I NPI is 1891952719. The provider is registered as an organization entity type.

The provider's business location address is:

627 WILSON AVE
NOVATO, CA
ZIP 94947-823
Phone: (415) 472-2373
Fax: (415) 472-5739

The provider's authorized official is Merlyn Teague .
The authorized official title is Director Of Admin/fincial and has the following contact phone number (415) 472-2373.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities0100371CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LTC60071FMEDICAIDCALIFORNIA
25225713MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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