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SUNRISE AT GARDNER PARK LP. NPI 1205960671


NPI Information

NPI: 1205960671
Provider Name: SUNRISE AT GARDNER PARK, LP.

Doing Business As: SUNRISE AT GARDNER PARK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
73 MARGIN ST
PEABODY, MA
ZIP 01960
Phone: (978) 532-3200
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SUNRISE AT GARDNER PARK, LP. is an assisted living facility in Peabody, MA. 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 AT GARDNER PARK, LP. NPI is 1205960671. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise At Gardner Park.

The provider's business location address is:

73 MARGIN ST
PEABODY, MA
ZIP 01960-877
Phone: (978) 532-3200

The provider's authorized official is Maushumi Ghosh .
The authorized official title is Executive Director and has the following contact phone number (978) 532-3200.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.


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
1310400000XAssisted Living FacilityMASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11904116MEDICAIDMASSACHUSETTS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.