Provider Demographics
NPI:1144101411
Name:SUNRISE ADULT DAYCARE CENTER INC
Entity type:Organization
Organization Name:SUNRISE ADULT DAYCARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAHIYE
Authorized Official - Middle Name:HUSSEIN
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-656-9334
Mailing Address - Street 1:570 1ST ST SE STE 103
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-0800
Mailing Address - Country:US
Mailing Address - Phone:763-656-9334
Mailing Address - Fax:320-217-2107
Practice Address - Street 1:570 1ST ST SE STE 103
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-0800
Practice Address - Country:US
Practice Address - Phone:763-656-9334
Practice Address - Fax:320-217-2107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care