Provider Demographics
NPI:1235342593
Name:SUNRISE ORCHARD AL, L.L.C.
Entity Type:Organization
Organization Name:SUNRISE ORCHARD AL, L.L.C.
Other - Org Name:SUNRISE ASSISTED LIVING AT ORCHARD
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-773-1609
Mailing Address - Street 1:5975 S HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80121-3460
Mailing Address - Country:US
Mailing Address - Phone:303-773-1609
Mailing Address - Fax:
Practice Address - Street 1:5975 S HOLLY ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80121-3460
Practice Address - Country:US
Practice Address - Phone:303-773-1609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAL - 0124310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility