NPIMap

Organization Active NPI

Hcri Sun III Tenant, LP

Doing business as Sunrise of Minnetonka

  • Assisted Living Facility
  • Minnetonka, MN
National Provider Identifier
1417126202
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HCRI SUN III TENANT, LP
Doing business as
Sunrise of Minnetonka
Practice address
18605 Old Excelsior Blvd
Minnetonka, MN 55345-3120
Phone
(952) 474-9155
Fax
(752) 474-9171
NPI assigned
Feb 26, 2008
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HCRI SUN III TENANT, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Tony J. Harris
Title
Senior Reimbursement Manager
Phone
(703) 854-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

18605 Old Excelsior Blvd
Minnetonka, MN 55345-3120

Mailing address

18605 Old Excelsior Blvd
Minnetonka, MN 55345-3120
Phone (952) 474-9155

Other names 1

  • Sunrise of Minnetonka Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise of Cuyahoga Falls21 organizations share this tax ID, including this one
Part of
Hcri Sun III Tenant LP

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1417126202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18605 OLD EXCELSIOR BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453120",
            "telephone_number": "952-474-9155",
            "fax_number": "752-474-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18605 OLD EXCELSIOR BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453120",
            "telephone_number": "952-474-9155",
            "fax_number": "752-474-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCRI SUN III TENANT, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HCRI SUN III TENANT, LP",
        "enumeration_date": "2008-02-26",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "703-854-0830"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Minnetonka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.