Sunrise View Retirment Villa

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

792 Issued in WA

Legal business name

SUNRISE VIEW RETIRMENT VILLA

Practice address

2520 Madison St
Everett, WA 98203-4868

Phone

(425) 353-4040

Fax

(425) 356-2137

NPI assigned

Mar 25, 2013

Organization subpart

No

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

Authorized official

Name

Diane Lopes

Title

Administrator

Phone

(425) 356-2102

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1104168426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 MADISON ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034868",
            "telephone_number": "425-353-4040",
            "fax_number": "425-356-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 MADISON ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034868",
            "telephone_number": "425-353-4040",
            "fax_number": "425-356-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE VIEW RETIRMENT VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "425-356-2102"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114012",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Services, Inc.
• Sunrise Services, Inc.
• Sunrise Services, Inc.
• Sunrise Services, Inc.
• Sunrise View Convalescent Center LLC
• Sunrise View Villa
• Sunshineadult Family Home LLC
• Boonlert Sureepisarn, MHP
• Beverly Surface
• Pratap Suryadevara, PHARMACIST

• Assisted Living Facility in Everett, WA
• Providers in Everett, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.