Metsun Jackson NJ Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

15A112 Issued in NJ

Legal business name

METSUN JACKSON NJ SENIOR LIVING, LLC

Practice address

7900 Westpark Dr
Suite T-900
MC Lean, VA 22102-4242

Phone

(732) 928-5600

Fax

(732) 928-5601

NPI assigned

Dec 16, 2009

Organization subpart

Yes

Parent organization

SUNRISE SENIOR LIVING, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Robyn Maja Burns, CALA

Title

Executive Director

Phone

(732) 928-5600

Specialties & licenses 1

Addresses

Other names 1

• Sunrise of Jackson Doing business as

Part of

Sunrise Senior Living Management Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sunrise Senior Living

  • Assisted Living Facility
  • Fairfax, VA
  • NPI 1942506118
  NPPES parent name

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1578892840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 WESTPARK DR",
            "address_2": "SUITE T-900",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 WESTPARK DR",
            "address_2": "SUITE T-900",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024242",
            "telephone_number": "732-928-5600",
            "fax_number": "732-928-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METSUN JACKSON NJ SENIOR LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNRISE SENIOR LIVING, INC.",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "MAJA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-928-5600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "15A112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.