SUNRISE AT GARDNER PARK
NPI 1205960671
Assisted Living Facility in Peabody, MA
About Sunrise At Gardner Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNRISE AT GARDNER PARK (NPI 1205960671) is a healthcare organization registered as an assisted living facility in Peabody, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Maushumi Ghosh, 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 22D2206120
Sunrise At Gardner Park · Peabody, MAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sunrise At Gardner Park, LP.'s NPI number?
The NPI number for Sunrise At Gardner Park, LP. is 1205960671. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Sunrise At Gardner Park.
Where is Sunrise At Gardner Park, LP. located?
Sunrise At Gardner Park, LP. is located at 73 Margin St, Peabody, MA 01960. The listed phone number is (978) 532-3200.
What is Sunrise At Gardner Park, LP.'s specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Sunrise At Gardner Park, LP. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2206120) is associated with this NPI, valid through December 16, 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 Sunrise At Gardner Park, LP. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 At Gardner Park · NPI 1205960671
Assisted Living Facility organization in Peabody, Massachusetts. Organization record, active in the CMS NPPES registry since March 15, 2007.
## Identity
- **NPI:** 1205960671 (Entity type: Organization)
- **Enumerated:** March 15, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Sunrise At Gardner Park, Lp.
- **Organization subpart:** No
- **Authorized official:** Maushumi Ghosh, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 73 MARGIN ST, Peabody, MA 01960-1877
- **Phone:** (978) 532-3200
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 1904116 (MA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205960671) · Data from the CMS NPPES public registry.