SUNRISE THIRD WEST BLOOMFIELD SL LLC NPI 1093159402

NPI Information

  • NPI: 1093159402
  • Provider Name: SUNRISE THIRD WEST BLOOMFIELD SL, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUNRISE OF WEST BLOOMFIELD
  • Address: 7005 PONTIAC TRL
    WEST BLOOMFIELD, MI
    ZIP 48323
  • Phone: (248) 738-8101

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NPI Details

SUNRISE THIRD WEST BLOOMFIELD SL, LLC is an assisted living facility in West Bloomfield, MI. 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 THIRD WEST BLOOMFIELD SL, LLC NPI is 1093159402. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Of West Bloomfield.

The provider's business location address is:

7005 PONTIAC TRL
WEST BLOOMFIELD, MI
ZIP 48323-181
Phone: (248) 738-8101
Fax: (248) 738-8177

The provider's authorized official is Tamera Kirby .
The authorized official title is Executive Director and has the following contact phone number (248) 738-8101.

The enumeration date for this NPI number is 4/29/2013 and was last updated on 4/29/2013.

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 FacilityAH630297112MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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