Basic Information
| Provider Information | |||||||||
| NPI: | 1700355336 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HCP SUNRISE FL OPCO, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1920 MAIN ST STE 1200 | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926147230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9494070700 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4201 SPRINGTREE DR | ||||||||
| Address2: | |||||||||
| City: | SUNRISE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333516163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9545724261 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2018 | ||||||||
| LastUpdateDate: | 11/13/2018 | ||||||||
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| AuthorizedOfficialLastName: | HARRISON | ||||||||
| AuthorizedOfficialFirstName: | MATTHEW | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP AND CORPORATE SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 9494070700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.