Active NPI
Sunrise Senior Village Assisted Living Inc
- Assisted Living Facility
- Fort Lauderdale, FL
National Provider Identifier
1417376922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Sunrise Intracoastal Plastic Surgery Center PA
- Sunrise Natural Pharmacy, LLC
- Sunrise Radiology Service LLC
- Sunrise Senior Care
- Sunrise Senior Village
- Sunrise Supply Resource LLC
- Sunshine Family Medical Center, LLC
- Sunshine Kids Pediatric Care FLL, LLC
- Sunshine Kids Pediatric Care, LLC, FLL, Therapy
- Sunshine Readers, Inc.
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.