Sunrise Senior Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5898 Issued in FL

Legal business name

SUNRISE SENIOR VILLAGE

Practice address

200 E Las Olas Blvd
Ft Lauderdale, FL 33301-2299

Phone

(954) 283-1048

NPI assigned

Apr 29, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Ricki Kaneti

Title

Executive Director

Phone

(954) 600-6333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1679983787",
    "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",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012299",
            "telephone_number": "954-283-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SENIOR VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "KANETI",
        "authorized_official_first_name": "RICKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-600-6333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Detox III, LLC
• Sunrise Intracoastal Plastic Surgery Center PA
• Sunrise Natural Pharmacy, LLC
• Sunrise Radiology Service LLC
• Sunrise Senior Care
• Sunrise Senior Village Assisted Living Inc
• Sunrise Supply Resource LLC
• Sunshine Family Medical Center, LLC
• Sunshine Kids Pediatric Care FLL, LLC
• Sunshine Kids Pediatric Care, LLC, FLL, Therapy

• Assisted Living Facility in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.