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SUNRISE VILLAGE CARE LLC
NPI 1235622820
Assisted Living Facility in Jasper, GA

Active since June 08, 2018CLIA 11D2128453 · Waiver
573 PIONEER RD, JASPER, GA 30143(706) 253-0043(770) 735-2661 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunrise Village Care Llc NPPES

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

SUNRISE VILLAGE CARE LLC (NPI 1235622820) is a healthcare organization registered as an assisted living facility in Jasper, Georgia and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Tammy Lynn Crider, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235622820
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUNRISE VILLAGE CARE LLC
Location Address573 PIONEER RDJasper, GA 30143-1225
Mailing Address3650 Salem Church RdJasper, GA 30143-5288 · (770) 735-2219 · Fax (770) 735-2661
Phone(706) 253-0043
Fax(770) 735-2661
Organization SubpartNo
Authorized OfficialTammy Lynn CriderAdministrator · (706) 299-3540
Enumeration DateJune 8, 2018
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1235622820 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 GA · PCH008698
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.
573 PIONEER RD, Jasper, GA 30143
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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 11D2128453

Sunrise Village Pch · Jasper, GA
Active · expires Mar 29, 2027
CLIA Number11D2128453
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorTammy Crider Kindle
Laboratory Phone(770) 735-2219
Laboratory LocationSunrise Village Pch573 Pioneer Road, Jasper, GA 30143
CLIA data matches this NPI record on: Address 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 Sunrise Village Care LLC's NPI number?

The NPI number for Sunrise Village Care LLC is 1235622820. It was assigned to this organization in the NPPES registry on June 8, 2018.

Where is Sunrise Village Care LLC located?

Sunrise Village Care LLC is located at 573 Pioneer Rd, Jasper, GA 30143. The listed phone number is (706) 253-0043.

What is Sunrise Village Care LLC's specialty?

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

Does Sunrise Village Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2128453) is associated with this NPI, valid through March 29, 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 Village Care LLC was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.