HBLR/RANDOLPH OPERATING LLC NPI 1174677538

NPI Information

  • NPI: 1174677538
  • Provider Name: HBLR/RANDOLPH OPERATING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUNRISE ASSISTED LIVING OF RANDOLPH
  • CLIA Number: 31D2194549
  • Address: 648 RT. 10 WEST
    RANDOLPH, NJ
    ZIP 07869
  • Phone: (973) 328-1922

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NPI Details

HBLR/RANDOLPH OPERATING, LLC is an assisted living facility in Randolph, 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. HBLR/RANDOLPH OPERATING, LLC NPI is 1174677538. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Assisted Living Of Randolph.

The provider's business location address is:

648 RT. 10 WEST
RANDOLPH, NJ
ZIP 07869
Phone: (973) 328-1922

The provider's authorized official is Joann Ryan .
The authorized official title is Executive Director and has the following contact phone number (973) 328-1922.

The CLIA number assigned to this NPI record is 31D2194549 - 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 8/6/2007.

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 Facility60A012NEW 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
10133744MEDICAIDNEW 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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