Active NPI
Sunrise Senior Living Management Inc
- Assisted Living Facility
- Issaquah, WA
National Provider Identifier
1104434547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SUNRISE SENIOR LIVING MANAGEMENT INC
- Practice address
- 23599 SE Issaquah Fall City Rd
Issaquah, WA 98029-9265 - Phone
- (425) 945-0006
- Fax
- (425) 945-0007
- NPI assigned
- Jul 22, 2020
- 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
- Jeffrey Slichta
- Title
- SVP - Operations
- Phone
- (425) 945-0006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
23599 SE Issaquah Fall City Rd
Issaquah, WA 98029-9265
Mailing address
23599 SE Issaquah Fall City Rd
Issaquah, WA 98029-9265
Phone (425) 945-0006
Other names 1
- Sunrise of Issaquah
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2201125 | Sunrise of Issaquah | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595376000000",
"number": "1104434547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23599 SE ISSAQUAH FALL CITY RD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980299265",
"telephone_number": "425-945-0006",
"fax_number": "425-945-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23599 SE ISSAQUAH FALL CITY RD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980299265",
"telephone_number": "425-945-0006",
"fax_number": "425-945-0007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE SENIOR LIVING MANAGEMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A",
"authorized_official_last_name": "SLICHTA",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "SVP - OPERATIONS",
"authorized_official_telephone_number": "425-945-0006"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise of Issaquah",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.