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SJV 1 RALEIGH OPCO LLC
NPI 1215529110
Assisted Living Facility in Raleigh, NC

Active since February 11, 2021
4801 EDWARDS MILL RD, RALEIGH, NC 27612(919) 787-0777(919) 787-6105 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sjv 1 Raleigh Opco Llc NPPES

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

SJV 1 RALEIGH OPCO LLC (NPI 1215529110), doing business as Sunrise Of Raleigh, is a healthcare organization registered as an assisted living facility in Raleigh, North Carolina and active in the NPI registry since February 2021. The organization lists Michelle Minor, Director Of Operation, as its authorized official.

NPPES Registry Identity

NPI1215529110
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSJV 1 RALEIGH OPCO LLC
Location Address4801 EDWARDS MILL RDRaleigh, NC 27612-4417
Mailing Address4801 Edwards Mill RdRaleigh, NC 27612-4417 · (919) 787-0777 · Fax (919) 787-6105
Phone(919) 787-0777
Fax(919) 787-6105
Organization SubpartNo
Authorized OfficialMichelle MinorDirector Of Operation · (919) 787-0777
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1215529110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
4801 EDWARDS MILL RD, Raleigh, NC 27612
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Other Names 1

Doing Business AsSunrise Of Raleigh

Other Providers at the Same Location NPPES 8

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

MAGGIE MARIE DICESARE COTA/L
Occupational Therapy Assistant
4801 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 787-0777
CAITLIN LOUISE NORTON COTA
Occupational Therapy Assistant
4801 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 787-0777
BRANDY ANN ROMEO
Occupational Therapy Assistant
4801 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (954) 684-2511
MELISSA CAROLE COLEY-ENLOWE OT/L
Occupational Therapist
4801 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 787-0777
MELISSA THOMAS OTR/L
Occupational Therapist
4801 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 787-0777
KAITLIN ZASTOUPIL OTR/L
Orthotic Fitter
4801 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 787-0777
TWENTY PACK MANAGEMENT CORP.
Assisted Living Facility
4801 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 787-0777
JESSICA EDDINS PTA
Physical Therapy Assistant
4801 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 787-0777

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 Raleigh Opco LLC's NPI number?

The NPI number for Sjv 1 Raleigh Opco LLC is 1215529110. It was assigned to this organization in the NPPES registry on February 11, 2021. The provider is doing business as Sunrise of Raleigh.

Where is Sjv 1 Raleigh Opco LLC located?

Sjv 1 Raleigh Opco LLC is located at 4801 Edwards Mill Rd, Raleigh, NC 27612. The listed phone number is (919) 787-0777.

What is Sjv 1 Raleigh Opco LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sjv 1 Raleigh Opco LLC was last updated on February 11, 2021. 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.