Sunrise Third (Pool), LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNRISE THIRD (POOL), LLC

Doing business as

Sunrise of Weston

Practice address

135 North Ave
Weston, MA 02493-2047

Phone

(781) 893-2936

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mary Labadini

Title

Executive Director

Phone

(781) 893-2936

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise of Weston Doing business as

Tax ID family

Sunrise of Chesterfield3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sunrise Third (Pool 1), LLC.

  dba Sunrise of Flossmoor

  • Assisted Living Facility
  • Flossmoor, IL
  • NPI 1013188861
  NPD tax ID
• Sunrise Third (Pool1),LLC

  dba Sunrise of Chesterfield

  • Assisted Living Facility
  • Chesterfield, MO
  • NPI 1255529426
  NPD tax ID

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881725786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NORTH AVE",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024932047",
            "telephone_number": "781-893-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NORTH AVE",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024932047",
            "telephone_number": "781-893-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE THIRD (POOL), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LABADINI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-893-2936"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904566",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Weston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SRC Weston, LLC
• Yvenah St Paul
• Donna M Staton, M.D.
• Candace Leavitt Steingisser, LICSW
• Nancy White Street, SCD, PPCNP, BC
• Mitchell Robert Swartz, MD, SCD
• Alan Szeto
• Bernard Taylor
• Robert Ira Tepper, M.D.
• Robert Terrell Jr.

• Assisted Living Facility in Weston, MA
• Providers in Weston, MA by specialty
• Assisted Living Facility in Massachusetts

• 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.