Sunrise of Mountain Lakes Opco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNRISE OF MOUNTAIN LAKES OPCO, LLC

Doing business as

Sunrise Of Mountain Lakes

Practice address

23 Bloomfield Ave
Mountain Lakes, NJ 07046-1429

Phone

(973) 461-7410

Fax

(973) 461-7472

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Tony J. Harris

Title

Senior Reimbursement Manager

Phone

(703) 854-0830

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Of Mountain Lakes Doing business as

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1457070138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BLOOMFIELD AVE",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461429",
            "telephone_number": "973-461-7410",
            "fax_number": "973-461-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BLOOMFIELD AVE",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461429",
            "telephone_number": "973-461-7410",
            "fax_number": "973-461-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE OF MOUNTAIN LAKES OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Of Mountain Lakes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise Of Mountain Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Mountain Lakes, NJ
• Providers in Mountain Lakes, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.