SUNRISE THIRD (POOL IV) LLC NPI 1447304746

NPI Information

  • NPI: 1447304746
  • Provider Name: SUNRISE THIRD (POOL IV), LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUNRISE OF BASKING RIDGE
  • CLIA Number: 31D2194561
  • Address: 404 KING GEORGE RD
    BASKING RIDGE, NJ
    ZIP 07920
  • Phone: (908) 542-9000

Map and Directions

Get Directions

NPI Details

SUNRISE THIRD (POOL IV), LLC is an assisted living facility in Basking Ridge, 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. SUNRISE THIRD (POOL IV), LLC NPI is 1447304746. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Of Basking Ridge.

The provider's business location address is:

404 KING GEORGE RD
BASKING RIDGE, NJ
ZIP 07920-808
Phone: (908) 542-9000

The provider's authorized official is Paul Gedbaw .
The authorized official title is Executive Director and has the following contact phone number (908) 542-9000.

The CLIA number assigned to this NPI record is 31D2194561 - 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 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility80A008NEW 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
18937001MEDICAIDNEW 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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI