NPIMap

Organization Active NPI

Twenty Pack Management Corporation

Doing business as Sunrise Assisted Living of Madison

  • Assisted Living Facility
  • Madison, NJ
National Provider Identifier
1629124466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
60A009 Issued in NJ
Legal business name
TWENTY PACK MANAGEMENT CORPORATION
Doing business as
Sunrise Assisted Living of Madison
Practice address
215 Madison Ave
Madison, NJ 07940-1003
Phone
(973) 301-0005
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maurice Duran
Title
Executive Director
Phone
(973) 301-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 60A009 NJ Primary

Addresses

Primary practice location

215 Madison Ave
Madison, NJ 07940-1003

Mailing address

215 Madison Ave
Madison, NJ 07940-1003
Phone (973) 301-0005

Other identifiers 1

IdentifierTypeStateIssuer
60861MedicaidNJ

Other names 1

  • Sunrise Assisted Living of Madison Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eden Gardens of Concord6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629124466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401003",
            "telephone_number": "973-301-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401003",
            "telephone_number": "973-301-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY PACK MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-301-0005"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "60A009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60861",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Assisted Living of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.