Organization Active NPI

Sunrise Senior Village Assisted Living Inc

  • Assisted Living Facility
  • Fort Lauderdale, FL
National Provider Identifier
1417376922
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUNRISE SENIOR VILLAGE ASSISTED LIVING INC
Practice address
200 E Las Olas Blvd Ste 2030
Ft Lauderdale, FL 33301-2488
Phone
(954) 283-1048
NPI assigned
Apr 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Ricki Kaneti
Title
Managing Member
Phone
(813) 971-8072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

200 E Las Olas Blvd Ste 2030
Ft Lauderdale, FL 33301-2488

Mailing address

11722 N 17TH St
Tampa, FL 33612-5434

National Provider Directory

National Provider Directory

Locations

200 E Las Olas Blvd
Ste 2030
Ft Lauderdale, FL 33301
Phone (954) 283-1048

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1417376922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11722 N 17TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E LAS OLAS BLVD STE 2030",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012488",
            "telephone_number": "954-283-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SENIOR VILLAGE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-971-8072"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.