SJV 1 EDMONDS OPCO LLC NPI 1073774436

NPI Information

  • NPI: 1073774436
  • Provider Name: SJV 1 EDMONDS OPCO LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUNRISE OF EDMONDS
  • CLIA Number: 50D2201124
  • Address: 750 EDMONDS WAY
    EDMONDS, WA
    ZIP 98020
  • Phone: (425) 673-9700

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NPI Details

SJV 1 EDMONDS OPCO LLC is an assisted living facility in Edmonds, WA. 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. SJV 1 EDMONDS OPCO LLC NPI is 1073774436. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Of Edmonds.

The provider's business location address is:

750 EDMONDS WAY
EDMONDS, WA
ZIP 98020-126
Phone: (425) 673-9700
Fax: (425) 673-9701

The provider's authorized official is Tony J. Harris .
The authorized official title is Senior Reimbursement Manager and has the following contact phone number (703) 854-0830.

The CLIA number assigned to this NPI record is 50D2201124 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 12/16/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility1740WASHINGTONYes
2311500000XAlzheimer Center (Dementia Center)1740WASHINGTONNo

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: 11/21/2025

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