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SUNRISE SENIOR LIVING NPI 1942506118


NPI Information

NPI: 1942506118
Provider Name: SUNRISE SENIOR LIVING

Other Name: SUNRISE AT FAIR OAKS

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

CLIA Number: 49D2154351

Address:
3750 JOSEPH SIEWICK DR
FAIRFAX, VA
ZIP 22033
Phone: (703) 264-0506
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SUNRISE SENIOR LIVING is an assisted living facility in Fairfax, VA. 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 NPI is 1942506118. The provider is registered as an organization entity type.
The provider Other Name Is Sunrise At Fair Oaks.

The provider's business location address is:

3750 JOSEPH SIEWICK DR
FAIRFAX, VA
ZIP 22033-742
Phone: (703) 264-0506
Fax: (703) 264-0620

The provider's authorized official is Valerie Parker .
The authorized official title is Director Of Commnity Relations and has the following contact phone number (703) 264-2043.

The CLIA number assigned to this NPI record is 49D2154351 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2011 and was last updated on 2/4/2011.


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
1311500000XAlzheimer Center (Dementia Center)FLO1079364L152VIRGINIANo
2310400000XAssisted Living FacilityFLO1079364L152VIRGINIAYes

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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