Sunrise Hovcare L.P.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

030830 Issued in NJ

Legal business name

SUNRISE HOVCARE L.P.

Doing business as

Sunrise at Woodbury Lake

Practice address

752 Cooper St
Woodbury, NJ 08096-2521

Phone

(856) 848-8777

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Anda Durso

Title

Executive Director

Phone

(856) 848-8777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise at Woodbury Lake Doing business as

Tax ID family

Sunrise Assited Living at Mt Laurel2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sunrise/Hov, LP

  dba Sunrise Assited Living At Mt. Laurel

  • Assisted Living Facility
  • Mount Laurel, NJ
  • NPI 1407011695
  NPD tax ID

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881748176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 COOPER ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962521",
            "telephone_number": "856-848-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 COOPER ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962521",
            "telephone_number": "856-848-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOVCARE L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURSO",
        "authorized_official_first_name": "ANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-848-8777"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "030830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101991",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise at Woodbury Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay A. Stiefel, D.O.
• Kyle Stinsman, BCABA
• Tonette Stubbs, LSW
• Suburban Health Clinic of Woodbury
• Maureen Sullivan, P.A.-C
• Surgical & Critical Care Associates
• SWB Medical Group LLC
• Yuzana Swe, MD
• Brielle Sykes
• Dawn Melissa Szeker, LPC

• Assisted Living Facility in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Assisted Living Facility in New Jersey

• 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.