1649512773 NPI number — SUNRISE SENIOR LIVING MANAGEMENT, INC.

Table of content: (NPI 1649512773)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649512773 NPI number — SUNRISE SENIOR LIVING MANAGEMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUNRISE SENIOR LIVING MANAGEMENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SUNRISE OF ROCHESTER COTTAGES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649512773
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7900 WESTPARK DR
Provider Second Line Business Mailing Address:
SUITE T-900
Provider Business Mailing Address City Name:
MC LEAN
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22102-4242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-273-7500
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4220 55TH ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55901-8900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-286-8528
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2013

Additional Information

Authorized Official

Authorized Official Last Name:
TIMONER
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
VICE PRESIDENT, ASSISTANT SECRETARY
Authorized Official Telephone Number:
703-273-7500

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  361761 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 311500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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