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SUNRISE SENIOR LIVING MANAGEMENT INC NPI 1396980959


NPI Information

NPI: 1396980959
Provider Name: SUNRISE SENIOR LIVING MANAGEMENT, INC

Doing Business As: SUNRISE OF LINCOLN PARK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 14D2196004

Address:
2710 N CLARK ST
CHICAGO, IL
ZIP 60614
Phone: (773) 244-0005
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SUNRISE SENIOR LIVING MANAGEMENT, INC is an assisted living facility in Chicago, IL. 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 SENIOR LIVING MANAGEMENT, INC NPI is 1396980959. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Of Lincoln Park.

The provider's business location address is:

2710 N CLARK ST
CHICAGO, IL
ZIP 60614-503
Phone: (773) 244-0005
Fax: (773) 244-0006

The provider's authorized official is Michael K, Amici .
The authorized official title is Executive Director and has the following contact phone number (773) 244-0005.

The CLIA number assigned to this NPI record is 14D2196004 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2008 and was last updated on 12/11/2008.


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 FacilityYes

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

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