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SUNRISE SENIOR LIVING MANAGEMENT INC. NPI 1417126202


NPI Information

NPI: 1417126202
Provider Name: SUNRISE SENIOR LIVING MANAGEMENT, INC.

Doing Business As: SUNRISE OF MINNETONKA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D1048156

Address:
18605 OLD EXCELSIOR BLVD
MINNETONKA, MN
ZIP 55345
Phone: (952) 474-9155
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SUNRISE SENIOR LIVING MANAGEMENT, INC. is an assisted living facility in Minnetonka, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SUNRISE SENIOR LIVING MANAGEMENT, INC. NPI is 1417126202. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Of Minnetonka.

The provider's business location address is:

18605 OLD EXCELSIOR BLVD
MINNETONKA, MN
ZIP 55345-120
Phone: (952) 474-9155
Fax: (752) 474-9171

The provider's authorized official is Cheryl Levy-shilkrot .
The authorized official title is Executive Director0 and has the following contact phone number (952) 474-9155.

The CLIA number assigned to this NPI record is 24D1048156 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 6/17/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

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: 4/28/2024

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