Provider Demographics
NPI: | 1205005857 |
---|---|
Name: | SUNRISE SENIOR LIVING SERVICES, INC |
Entity Type: | Organization |
Organization Name: | SUNRISE SENIOR LIVING SERVICES, INC |
Other - Org Name: | ROSEWOOD ESTATE OF ROSEVILLE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JULIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PITSENEARGER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 651-482-1611 |
Mailing Address - Street 1: | 2750 VICTORIA ST N |
Mailing Address - Street 2: | |
Mailing Address - City: | ROSEVILLE |
Mailing Address - State: | MN |
Mailing Address - Zip Code: | 55113-2094 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 651-482-1611 |
Mailing Address - Fax: | 866-733-8524 |
Practice Address - Street 1: | 2750 VICTORIA ST N |
Practice Address - Street 2: | |
Practice Address - City: | ROSEVILLE |
Practice Address - State: | MN |
Practice Address - Zip Code: | 55113-2094 |
Practice Address - Country: | US |
Practice Address - Phone: | 651-482-1611 |
Practice Address - Fax: | 866-733-8524 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-02-28 |
Last Update Date: | 2008-02-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |