Organization Active NPI

Sunrise Lifestyle Centers LLC

Doing business as Sunrise Health Centers

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Cedar Knolls, NJ
National Provider Identifier
1073570594
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
23200 Issued in NJ
Legal business name
SUNRISE LIFESTYLE CENTERS LLC
Doing business as
Sunrise Health Centers
Practice address
8 Saddle Rd
Suite 202
Cedar Knolls, NJ 07927-1902
Phone
(973) 455-1122
Fax
(973) 455-7117
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeff T Grade
Title
Ceo
Phone
(847) 656-0353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 23200 NJ Primary

Addresses

Primary practice location

8 Saddle Rd
Suite 202
Cedar Knolls, NJ 07927-1902

Mailing address

40 Skokie Blvd
Suite 440
Northbrook, IL 60062-1601
Phone (847) 656-0353

Other names 1

  • Sunrise Health Centers Doing business as

National Provider Directory

National Provider Directory

Locations

40 Skokie Blvd
Ste 440
Northbrook, IL 60062
Phone (847) 656-0353

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073570594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SKOKIE BLVD",
            "address_2": "SUITE 440",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621601",
            "telephone_number": "847-656-0353",
            "fax_number": "847-656-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SADDLE RD",
            "address_2": "SUITE 202",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271902",
            "telephone_number": "973-455-1122",
            "fax_number": "973-455-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE LIFESTYLE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRADE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-656-0353"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NJ",
            "license": "23200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.