Organization Active NPI

Sunrise Senior Living Management Inc

  • Assisted Living Facility
  • Issaquah, WA
National Provider Identifier
1104434547
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jul 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2201125Sunrise of Issaquah23599 SE Issaquah Fall City Rd, Issaquah, WA 98029Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.