Mor/Sun Shelby Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AH500281087 Issued in MI

Legal business name

MOR/SUN SHELBY SENIOR LIVING, LLC

Doing business as

Sunrise Assisted Living of Shelby Twp.

Practice address

46471 Hayes Rd
Shelby TWP, MI 48315-5504

Phone

(586) 532-9559

Fax

(586) 532-9554

NPI assigned

Jun 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Bunk

Title

Executive Director

Phone

(586) 532-9559

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Assisted Living of Shelby Twp. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1013398122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46471 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483155504",
            "telephone_number": "586-532-9559",
            "fax_number": "586-532-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46471 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483155504",
            "telephone_number": "586-532-9559",
            "fax_number": "586-532-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOR/SUN SHELBY SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "BUNK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "586-532-9559"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH500281087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Assisted Living of Shelby Twp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michigan Integrative Health Center PC
• Nicole Renee Mikulski, DPT
• Mobility Works Therapy Services Inc
• Mohammad Bitar MD PC (Shelby Pediatrics)
• India Moore
• Vittorio M Morreale, M.D.
• Sarah Alexandria Morris
• Amanda Elizabeth Mrachina, COTA/L
• Jenna Marie Mueller, COTAL
• Alicia Ann Murphy, FNP-C

• Assisted Living Facility in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.