TWENTY PACK MANAGEMENT CORPORATION (NPI# 1629124466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629124466 |
| Entity Type | Organization |
| Organization Name | TWENTY PACK MANAGEMENT CORPORATION |
| Other Organization Name | SUNRISE ASSISTED LIVING OF MADISON |
| Practice Address |
215 Madison Ave Madison NJ 07940-1003 |
| Practice Telephone | 9733010005 |
| Mailing Telephone | 9733010005 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MAURICE DURAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9733010005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 60A009 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 60861 | 05 |
| Other Name | Type Code |
|---|---|
| Sunrise Assisted Living of Madison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831574078 | Twenty Pack Management Corporation | Assisted Living Facility | 5900 Wilson Blvd, Arlington, VA 22205-1548 | 2015-07-29 |
| Street Address |
215 MADISON AVE |
| City | MADISON |
| State | NJ |
| Zip Code | 07940-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819960 | Hcp Madison Nj Opco, LLC | Assisted Living Facility | 215 Madison Ave, Madison, NJ 07940-1003 | 2020-04-08 |
| 1619522703 | Hcp S-h Opco Trs, LLC | Assisted Living Facility | 215 Madison Ave, Madison, NJ 07940-1003 | 2019-08-06 |
| 1043423361 | Tina Monica | Physical Therapist | 215 Madison Ave, Madison, NJ 07940-1003 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1578919825 | Michelle Solino | Counselor | 135 Green Ave, Madison, NJ 07940 | 2016-05-05 |
| 1225400328 | Alexis Rahman | Nurse Practitioner | 5 Giralda Farms, Madison, NJ 07940 | 2015-10-28 |
| 1417208315 | Jared D Cooper | Physical Therapist | 20 Cook Plaza, Madison, NJ 07940 | 2012-10-02 |
| 1366779548 | Joanna M Smith | Social Worker | 57 Kings Road, Madison, NJ 07940 | 2009-11-10 |
| 1235377920 | Jenifer Harris Stein | Dietitian, Registered | 22 Keep Street, Madison, NJ 07940 | 2009-02-03 |
| 1629261763 | Professional Physical Therapy & Training, LLC | Clinic/Center | 111 Kings Road, Madison, NJ 07940 | 2007-08-22 |
| 1275757122 | Grace Counseling Center | Counselor | 16 Madison Avenue, Madison, NJ 07940 | 2007-04-12 |
| 1184742033 | Gloria T Paknis | Social Worker | 37 Kings Road, Madison, NJ 07940 | 2007-03-27 |
| Find all providers in zip 07940 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558747 | Waymaker Enterprises, LLC | Assisted Living Facility | 204 Bradfield Rd, Madison, MS 39110-7035 | 2020-05-06 |
| 1073132684 | Hope Reality, LLC | Assisted Living Facility | 5510 Forge Dr, Madison, WI 53716-2454 | 2020-04-14 |
| 1184262164 | Stacey Daniels | Assisted Living Facility | 183 Se Columbus Trl, Madison, FL 32340-3100 | 2019-12-20 |
| 1376028332 | Charlotte F Kister | Assisted Living Facility | 2358 Hubbard Road, Madison, OH 44057 | 2018-09-26 |
| 1689041865 | Crystal Fountain Home Services LLC | Assisted Living Facility | 1912 N State Road 53, Madison, FL 32340-3947 | 2015-08-24 |
| 1659755809 | Madison Senior Living, Inc. | Assisted Living Facility | 705 Ziegler Rd, Madison, WI 53714-1339 | 2015-07-17 |
| 1740690171 | Florida Assistant Living Organization, LLC | Assisted Living Facility | 219 Se Abernathy Way, Madison, FL 32340-7044 | 2014-05-07 |
| 1720498215 | Florida Assistant Living Organization, LLC | Assisted Living Facility | 585 Se Lakeshore Dr, Madison, FL 32340-2734 | 2014-05-06 |
| 1407292238 | Troyandjennyenterprises,inc | Assisted Living Facility | 765 Ne Delphinium Dr, Madison, FL 32340-5412 | 2013-05-20 |
| 1902178643 | Madison House Assisted Living | Assisted Living Facility | 3910 Dixie Hwy, Madison, GA 30650-3431 | 2012-01-26 |
| Find all providers in MADISON | ||||
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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.