Active NPI
Sunlight Senior Living I LLC
- Assisted Living Facility
- Saint Paul, MN
National Provider Identifier
1013564236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SUNLIGHT SENIOR LIVING I LLC
- Practice address
- 400 Western Ave N
Saint Paul, MN 55103-2277 - Phone
- (516) 708-3503
- NPI assigned
- Aug 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raquel Edery
- Title
- Managing Member
- Phone
- (516) 708-3503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
400 Western Ave N
Saint Paul, MN 55103-2277
Mailing address
445 Central Ave Unit 215
Cedarhurst, NY 11516-2021
Phone (516) 708-3503
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1013564236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 CENTRAL AVE UNIT 215",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115162021",
"telephone_number": "516-708-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WESTERN AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551032277",
"telephone_number": "516-708-3503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNLIGHT SENIOR LIVING I LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-22",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "EDERY",
"authorized_official_first_name": "RAQUEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "516-708-3503"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.