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SUNRISE OF EDMONDS
NPI 1073774436
Assisted Living Facility in Edmonds, WA

Active since June 18, 2008CLIA 50D2201124 · Waiver
750 EDMONDS WAY, EDMONDS, WA 98020(425) 673-9700(425) 673-9701 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunrise Of Edmonds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE OF EDMONDS (NPI 1073774436) is a healthcare organization registered as an assisted living facility in Edmonds, Washington and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Tony J. Harris, Senior Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1073774436
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSJV 1 EDMONDS OPCO LLC
Location Address750 EDMONDS WAYEdmonds, WA 98020-5126
Mailing Address750 Edmonds WayEdmonds, WA 98020-5126 · (425) 673-9700 · Fax (425) 673-9701
Phone(425) 673-9700
Fax(425) 673-9701
Organization SubpartNo
Authorized OfficialTony J. HarrisSenior Reimbursement Manager · (703) 854-0830
Enumeration DateJune 18, 2008
Last NPPES UpdateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1073774436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in WA · 1740
Definition
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License 1740 (WA)
750 EDMONDS WAY, Edmonds, WA 98020
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Other Names 1

Doing Business AsSunrise Of Edmonds

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2201124

Sunrise Of Edmonds · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D2201124
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 18, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKaren Chaffin
Laboratory Phone(425) 673-9700
Laboratory LocationSunrise Of Edmonds750 Edmonds Way, Edmonds, WA 98020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sjv 1 Edmonds Opco LLC's NPI number?

The NPI number for Sjv 1 Edmonds Opco LLC is 1073774436. It was assigned to this organization in the NPPES registry on June 18, 2008. The provider is doing business as Sunrise Of Edmonds.

Where is Sjv 1 Edmonds Opco LLC located?

Sjv 1 Edmonds Opco LLC is located at 750 Edmonds Way, Edmonds, WA 98020. The listed phone number is (425) 673-9700.

What is Sjv 1 Edmonds Opco LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Sjv 1 Edmonds Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2201124) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sjv 1 Edmonds Opco LLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.