Active NPI
Sunrise Senior Living Management, Inc
- Assisted Living Facility
- Chicago, IL
National Provider Identifier
1396980959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SUNRISE SENIOR LIVING MANAGEMENT, INC
- Practice address
- 2710 N Clark St
Chicago, IL 60614-1503 - Phone
- (773) 244-0005
- Fax
- (773) 244-0006
- NPI assigned
- Dec 11, 2008
- 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
- Michael K, Amici
- Title
- Executive Director
- Phone
- (773) 244-0005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2710 N Clark St
Chicago, IL 60614-1503
Mailing address
2710 N Clark St
Chicago, IL 60614-1503
Phone (773) 244-0005
Other names 1
- Sunrise of Lincoln Park
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 |
|---|---|---|---|
| 14D2196004 | Sunrise of Lincoln Park | Certificate of waiver | Oct 13, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Sunrise of Cuyahoga Falls
Other organizations with this tax ID 20
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228953600000",
"number": "1396980959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141503",
"telephone_number": "773-244-0005",
"fax_number": "773-244-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141503",
"telephone_number": "773-244-0005",
"fax_number": "773-244-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE SENIOR LIVING MANAGEMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-11",
"last_updated": "2008-12-11",
"status": "A",
"authorized_official_last_name": "AMICI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "K,",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "773-244-0005"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise of Lincoln Park",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.