SZR WALL ASSISTED LIVING LLC NPI 1124172408

NPI Information

  • NPI: 1124172408
  • Provider Name: SZR WALL ASSISTED LIVING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUNRISE ASSISTED LIVING OF WALL
  • CLIA Number: 31D2195567
  • Address: 2600 ALLAIRE RD
    WALL TOWNSHIP, NJ
    ZIP 07719
  • Phone: (732) 282-1700

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NPI Details

SZR WALL ASSISTED LIVING, LLC is an assisted living facility in Wall Township, NJ. 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. SZR WALL ASSISTED LIVING, LLC NPI is 1124172408. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Assisted Living Of Wall.

The provider's business location address is:

2600 ALLAIRE RD
WALL TOWNSHIP, NJ
ZIP 07719-568
Phone: (732) 282-1700

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 31D2195567 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 12/17/2024.

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 Facility55A008NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19056904MEDICAIDNEW JERSEY

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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