SJV 1 Madison Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SJV 1 MADISON OPCO LLC

Practice address

215 Madison Ave
Madison, NJ 07940-1003

Phone

(973) 301-0005

Fax

(973) 301-0022

NPI assigned

Mar 4, 2021

Organization subpart

Yes

Parent organization

VOLANS SUNRISE JV TRS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Tony J. Harris

Title

Senior Reimbursement Manager

Phone

(703) 854-0830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise of Madison Doing business as

Tax ID family

SJV 1 Madison Opco LLC2 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.

• SJV 1 Madison Opco LLC

  • Skilled Nursing Facility
  • Madison, NJ
  • NPI 1033796925
  NPD tax ID

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1962097600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401003",
            "telephone_number": "973-301-0005",
            "fax_number": "973-301-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401003",
            "telephone_number": "973-301-0005",
            "fax_number": "973-301-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJV 1 MADISON OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLANS SUNRISE JV TRS LLC",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "703-854-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0946516",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Madison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carl Laurence Shesler, D.MIN.
• Hong Y Shi, MD
• Shervin Shojai, DDS
• Thomas Paul Shubeck, PH.D.
• SJV 1 Madison Opco LLC
• Jillian Slater
• Alice Smarsh, PT
• Joanna M Smith, LCSW
• Shirley L Smith, RN APN
• Michelle Solino

• Assisted Living Facility in Madison, NJ
• Providers in Madison, 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 Jan 22, 2025; 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.