Sunrise Manor Common Lovely, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUNRISE MANOR COMMON LOVELY, LLC

Practice address

1635 Cochran St
Simi Valley, CA 93065-2160

Phone

(805) 304-5960

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Slim Maron

Title

Member

Phone

(805) 304-5960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1699321109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 COCHRAN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 COCHRAN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652160",
            "telephone_number": "805-304-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MANOR COMMON LOVELY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "MARON",
        "authorized_official_first_name": "SLIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "805-304-5960"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Sun, DDS, MS
• Megha Sundar, LMFT
• Sunlight Home Health Care Inc
• Sunray Adhc, Inc.
• Sunrise Lovely Manor
• Sunset Sleep Labs LLC
• Jezreel Martin Supetran
• Ashley Surak, PT, DPT
• Alexis Sutton, PSYD
• Les A. Sutton, D.D.S.

• Skilled Nursing Facility in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.