Organization Active NPI

Al I/Woodcliff Lake Senior Housing, LLC

Doing business as Sunrise of Woodcliff Lake

  • Assisted Living Facility
  • Woodcliff Lake, NJ
National Provider Identifier
1699165159
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
05A007 Issued in NJ
Legal business name
AL I/WOODCLIFF LAKE SENIOR HOUSING, LLC
Doing business as
Sunrise of Woodcliff Lake
Practice address
430 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-7604
Phone
(201) 782-1888
Fax
(201) 782-1899
NPI assigned
Feb 4, 2015
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Grace Cosgrove
Title
Executive Director
Phone
(201) 782-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 05A007 NJ Primary

Addresses

Primary practice location

430 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-7604

Mailing address

430 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-7604
Phone (201) 782-1888

Other names 1

  • Sunrise of Woodcliff Lake Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2195953Sunrise of Woodcliff Lake430 Chestnut Ridge Road, Woodcliff Lake, NJ 07677Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1699165159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777604",
            "telephone_number": "201-782-1888",
            "fax_number": "201-782-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777604",
            "telephone_number": "201-782-1888",
            "fax_number": "201-782-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL I/WOODCLIFF LAKE SENIOR HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "COSGROVE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-782-1888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "05A007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Woodcliff Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodcliff Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.