Provider Demographics
NPI:1083366819
Name:SUNRISE CARLISLE GP, LLC
Entity Type:Organization
Organization Name:SUNRISE CARLISLE GP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMAUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-929-0200
Mailing Address - Street 1:1450 POST ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-6500
Mailing Address - Country:US
Mailing Address - Phone:415-929-0200
Mailing Address - Fax:415-749-7013
Practice Address - Street 1:1450 POST ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6500
Practice Address - Country:US
Practice Address - Phone:415-929-0200
Practice Address - Fax:415-749-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA385600359OtherFACILITY LICENSE