Provider Demographics
NPI:1760005185
Name:SUNRISE OF SHREWSBURY OPCO, LLC
Entity Type:Organization
Organization Name:SUNRISE OF SHREWSBURY OPCO, LLC
Other - Org Name:SUNRISE OF SHREWSBURY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-383-2040
Mailing Address - Street 1:766 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4203
Mailing Address - Country:US
Mailing Address - Phone:732-383-2040
Mailing Address - Fax:732-383-2041
Practice Address - Street 1:766 BROAD ST
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4203
Practice Address - Country:US
Practice Address - Phone:732-383-2040
Practice Address - Fax:732-383-2041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility