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SUNRISE OF SMITHTOWN
NPI 1215345038
Assisted Living Facility in Smithtown, NY

Active since July 24, 2014CLIA 33D2210136 · Waiver
30 ROUTE 111, SMITHTOWN, NY 11787(631) 724-2299(631) 724-2922 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunrise Of Smithtown NPPES

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

SUNRISE OF SMITHTOWN (NPI 1215345038) is a healthcare organization registered as an assisted living facility in Smithtown, New York and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jodi Rinaldi, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215345038
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUNRISE SMITHTOWN AL LLC
Location Address30 ROUTE 111Smithtown, NY 11787-3713
Mailing Address30 Route 111Smithtown, NY 11787-3713 · (631) 724-2299 · Fax (631) 724-2922
Phone(631) 724-2299
Fax(631) 724-2922
Organization SubpartNo
Authorized OfficialJodi RinaldiExecutive Director · (631) 724-2299
Enumeration DateJuly 24, 2014
✔ NPI 1215345038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NY · 700-F-927
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.
30 ROUTE 111, Smithtown, NY 11787
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Other Names 1

Doing Business AsSunrise Of Smithtown

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 33D2210136

Sunrise Of Smithtown · Smithtown, NY
Active · expires Mar 26, 2027
CLIA Number33D2210136
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 20, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Eugene M. Raber
Laboratory Phone(631) 724-2299
Laboratory LocationSunrise Of Smithtown30 Rte 111, Smithtown, NY 11787
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALL ISLAND PHYISCAL THERAPY
Clinic/Center (Physical Therapy)
30 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 724-2299
LISA VANVECHTEN-FLYNN
Physical Therapist
30 ROUTE 111
SMITHTOWN, NY 11787
Suffolk County (631) 724-2299

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 Smithtown Al LLC's NPI number?

The NPI number for Sunrise Smithtown Al LLC is 1215345038. It was assigned to this organization in the NPPES registry on July 24, 2014. The provider is doing business as Sunrise Of Smithtown.

Where is Sunrise Smithtown Al LLC located?

Sunrise Smithtown Al LLC is located at 30 Route 111, Smithtown, NY 11787. The listed phone number is (631) 724-2299.

What is Sunrise Smithtown Al LLC's specialty?

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

Does Sunrise Smithtown Al LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2210136) is associated with this NPI, valid through March 26, 2027. 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 Smithtown Al LLC was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.