NPIMap

Organization Active NPI

Sunrise House Assisted Living Home II

  • Assisted Living Facility
  • Wasilla, AK
National Provider Identifier
1891032124
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
100986 Issued in AK
Legal business name
SUNRISE HOUSE ASSISTED LIVING HOME II
Practice address
801 S Hermon Rd
Wasilla, AK 99654-7311
Phone
(907) 631-3971
Fax
(907) 631-4085
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Ms. Betty Jo Cooley, LPNNPI 1508014077
Title
Owner/Administrator
Phone
(907) 631-3971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 100986 AK Primary

Addresses

Primary practice location

801 S Hermon Rd
Wasilla, AK 99654-7311

Mailing address

801 S Hermon Rd
Wasilla, AK 99654-7311
Phone (907) 631-3971

Other names 1

  • Sunrise House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Assisted Living2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1891032124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S HERMON RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547311",
            "telephone_number": "907-631-3971",
            "fax_number": "907-631-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S HERMON RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547311",
            "telephone_number": "907-631-3971",
            "fax_number": "907-631-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE HOUSE ASSISTED LIVING HOME II",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-631-3971",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "100986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.