Provider Demographics
NPI:1487842381
Name:SUNRISE SENIOR LIVING MANAGEMENT, INC
Entity Type:Organization
Organization Name:SUNRISE SENIOR LIVING MANAGEMENT, INC
Other - Org Name:SUNRISE ASSISTED LIVING OF CRESSKILL
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOASORTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-871-0300
Mailing Address - Street 1:3 TENAKILL PARK E
Mailing Address - Street 2:
Mailing Address - City:CRESSKILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07626-2051
Mailing Address - Country:US
Mailing Address - Phone:201-871-0300
Mailing Address - Fax:
Practice Address - Street 1:3 TENAKILL PARK E
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-2051
Practice Address - Country:US
Practice Address - Phone:201-871-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ05A200310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility