Sunrise at Gardner Park, LP.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNRISE AT GARDNER PARK, LP.

Practice address

73 Margin St
Peabody, MA 01960-1877

Phone

(978) 532-3200

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Maushumi Ghosh

Title

Executive Director

Phone

(978) 532-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise at Gardner Park Doing business as

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205960671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MARGIN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601877",
            "telephone_number": "978-532-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARGIN ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601877",
            "telephone_number": "978-532-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE AT GARDNER PARK, LP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHOSH",
        "authorized_official_first_name": "MAUSHUMI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-532-3200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904116",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise at Gardner Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Joy Sullivan-Miller, MS, CNP, CNS
• Julianne Sullivan, FNP
• Margaret Sullivan, LMHC
• Olivia Alexandra Sullivan
• Avani Sulph
• Sunrise Dental Partners
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• Gregory Francis Surman, PT
• Jordan Sutherland, DMD

• Assisted Living Facility in Peabody, MA
• Providers in Peabody, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.