SUNRISE SENIOR LIVING SERVICES, INC. (NPI# 1417906470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417906470 |
| Entity Type | Organization |
| Organization Name | SUNRISE SENIOR LIVING SERVICES, INC. |
| Other Organization Name | BRIGHTON GARDENS OF NORTHRIDGE |
| Practice Address |
17650 Devonshire St Northridge CA 91325-1445 |
| Mailing Address |
7900 Westpark Dr T-900, Attn: Medicare Billing, M. Garcia Mc Lean VA 22102-4242 |
| Practice Telephone | 8188861616 |
| Practice Fax Number | 8188868849 |
| Mailing Telephone | 7038540823 |
| Mailing Fax Number | 7038540164 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | MARISSA KIRBY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8188861616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 197605521 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Brighton Gardens of Northridge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063461986 | Sunrise Senior Living Services, Inc. | Skilled Nursing Facility | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2006-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SUNRISE SENIOR LIVING SERVICES, INC. | 7902 Westpark Dr, Mc Lean, VA 22102 |
| Massachusetts Corporations | SUNRISE SENIOR LIVING SERVICES, INC. | 7902 Westpark Drive, Mclean, VA 22102 |
| Connecticut Business Registrations | SUNRISE SENIOR LIVING SERVICES, INC. | 7902 Westpark Drive, Mclean, VA 22102 |
| New York State Corporations | SUNRISE SENIOR LIVING SERVICES, INC. | 28 Liberty St., New York, New York 10005 |
| Washington State Corporations | SUNRISE SENIOR LIVING SERVICES, INC. | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Street Address |
17650 DEVONSHIRE ST |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376089326 | Hameed Adebola Adewole | Physical Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2017-01-15 |
| 1326490145 | Sonam Gupta | Physical Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2016-07-05 |
| 1396147104 | Michelle Pak | Occupational Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2014-09-24 |
| 1568735314 | Stacey Anne Pennington | Occupational Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2012-02-09 |
| 1053681502 | Rommel Herrera Pasco | Physical Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2011-12-30 |
| 1750658894 | Richard David Mason | Speech-Language Pathologist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2011-11-17 |
| 1932499514 | Oleg Sirotin | Physical Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2011-04-15 |
| 1477842326 | Iris Sen | Occupational Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2011-03-31 |
| 1578862009 | Jocelyn Y Paro-an | Occupational Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2011-03-23 |
| 1255639704 | Ivy D Jimenez | Physical Therapist | 17650 Devonshire St, Northridge, CA 91325-1445 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| 1275879652 | Adonai Congregate Living, Inc. | Skilled Nursing Facility | 10215 Lasaine Ave, Northridge, CA 91325-1511 | 2012-12-12 |
| 1942492855 | St.rita's Haven | Skilled Nursing Facility | 9525 Petit Ave, Northridge, CA 91343-2520 | 2007-08-14 |
| 1508068578 | Caremeridian, LLC | Skilled Nursing Facility | 18900 Mayall St, Northridge, CA 91324-1214 | 2007-06-01 |
| 1851609143 | Emericare Inc | Skilled Nursing Facility | 17650 Devonshire St, Northridge, CA 91325-1445 | 2010-09-20 |
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| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.