SUNRISE ASSISTED LIVING OF RANDOLPH
NPI 1174677538
Assisted Living Facility in Randolph, NJ
About Sunrise Assisted Living Of Randolph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNRISE ASSISTED LIVING OF RANDOLPH (NPI 1174677538) is a healthcare organization registered as an assisted living facility in Randolph, New Jersey and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Joann Ryan, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 31D2194549
Sunrise Assisted Living Of Randolph · Randolph, NJFrequently 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 Hblr/Randolph Operating, LLC's NPI number?
The NPI number for Hblr/Randolph Operating, LLC is 1174677538. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Sunrise Assisted Living Of Randolph.
Where is Hblr/Randolph Operating, LLC located?
Hblr/Randolph Operating, LLC is located at 648 Rt. 10 West, Randolph, NJ 07869. The listed phone number is (973) 328-1922.
What is Hblr/Randolph Operating, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Hblr/Randolph Operating, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2194549) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Hblr/Randolph Operating, LLC was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Sunrise Assisted Living Of Randolph · NPI 1174677538
Assisted Living Facility organization in Randolph, New Jersey. Organization record, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1174677538 (Entity type: Organization)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Hblr/randolph Operating, Llc
- **Organization subpart:** No
- **Authorized official:** Joann Ryan, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 648 RT. 10 WEST, Randolph, NJ 07869
- **Phone:** (973) 328-1922
## Record status
- **NPPES last updated:** August 6, 2007
- **Other identifiers:** Medicaid 0133744 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174677538) · Data from the CMS NPPES public registry.