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SUNRISE COMMUNITY SUPPORT SERVICES LLC
NPI 1710862578
Home Health in Tyngsboro, MA

Active since August 09, 2025CLIA 22D2334248 · Waiver
164 WESTFORD RD STE 9, TYNGSBORO, MA 01879(978) 882-8929 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunrise Community Support Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE COMMUNITY SUPPORT SERVICES LLC (NPI 1710862578) is a healthcare organization registered as a home health in Tyngsboro, Massachusetts and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Grace Fogue, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710862578
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUNRISE COMMUNITY SUPPORT SERVICES LLC
Location Address164 WESTFORD RD STE 9Tyngsboro, MA 01879-2530
Mailing Address164 Westford Rd Ste 9Tyngsboro, MA 01879-2530 · (978) 882-8929
Phone(978) 882-8929
Organization SubpartNo
Authorized OfficialGrace FogueCeo · (413) 320-8521
Enumeration DateAugust 9, 2025
NPPES CertifiedAugust 9, 2025
✔ NPI 1710862578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
164 WESTFORD RD STE 9, Tyngsboro, MA 01879
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2334248

Sunrise Community Support Services LLC · Tyngsboro, MA
Active · expires Nov 17, 2027
CLIA Number22D2334248
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorGrace Fogue
Laboratory Phone(978) 882-8929
Laboratory LocationSunrise Community Support Services LLC164 Westford, Tyngsboro, MA 01879
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunrise Community Support Services LLC's NPI number?

The NPI number for Sunrise Community Support Services LLC is 1710862578. It was assigned to this organization in the NPPES registry on August 9, 2025.

Where is Sunrise Community Support Services LLC located?

Sunrise Community Support Services LLC is located at 164 Westford Rd Ste 9, Tyngsboro, MA 01879. The listed phone number is (978) 882-8929.

What is Sunrise Community Support Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Sunrise Community Support Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2334248) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunrise Community Support Services LLC was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.