SUNRISE RESIDENTIAL SERVICES LLC – NPI #1477055796
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.

SUNRISE RESIDENTIAL SERVICES LLC is an assisted living facility located in ROSEVILLE, MN. NPPES has assigned the NPI number 1477055796 to SUNRISE RESIDENTIAL SERVICES LLC on March 02, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 7 years ago on Aug 16, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUNRISE RESIDENTIAL SERVICES LLC below.

NPI Profile for
SUNRISE RESIDENTIAL SERVICES LLC

NPI Number
1477055796
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUNRISE RESIDENTIAL SERVICES LLC
Primary location
216 MAPLE LN
ROSEVILLE, MN 55113
Phone: (206) 458-3553 Fax:
1 Other location(s):
310 E 38th St Suite #206
Minneapolis, MN 55409
Phone: (206) 458-3553
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TUFAH MOALLIN
OWNER/MANAGER
Phone: (206) 458-3553
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
332U00000X
- Home Delivered Meals
MN 1091521
253Z00000X
- In Home Supportive Care
MN 1091521
251J00000X
- Nursing Care
MN 385493
251E00000X
- Home Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.