Provider Demographics
NPI:1235317975
Name:SUNRISE SENIOR MANAGEAMENT, INC.
Entity Type:Organization
Organization Name:SUNRISE SENIOR MANAGEAMENT, INC.
Other - Org Name:SUNRISE OF GOLDEN VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:THIEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-522-4000
Mailing Address - Street 1:4950 OLSON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-5131
Mailing Address - Country:US
Mailing Address - Phone:763-522-4000
Mailing Address - Fax:763-522-6170
Practice Address - Street 1:4950 OLSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-5131
Practice Address - Country:US
Practice Address - Phone:763-522-4000
Practice Address - Fax:763-522-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility