Sunrise View Convalescent Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1166 Issued in WA

Legal business name

SUNRISE VIEW CONVALESCENT CENTER LLC

Practice address

2520 Madison St
Everett, WA 98203-4868

Phone

(425) 353-4040

Fax

(425) 356-2235

NPI assigned

Jun 18, 2006

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) 353-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1164467734",
    "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": "425-356-2235"
        },
        {
            "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": "425-356-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE VIEW CONVALESCENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "425-353-4040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111662",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sunshineadult Family Home LLC
• Boonlert Sureepisarn, MHP
• Beverly Surface

• Skilled Nursing Facility in Everett, WA
• Providers in Everett, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.