SUNRISE OF PALOS PARK
NPI 1396947826
Assisted Living Facility in Palos Park, IL
About Sunrise Of Palos Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNRISE OF PALOS PARK (NPI 1396947826) is a healthcare organization registered as an assisted living facility in Palos Park, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Kathleen Roelofs, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 14D2195453
Sunrise Of Palos Park · Palos Park, ILOther Providers at the Same Location NPPES 2
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 Second Assisted Living Holdings, LLC's NPI number?
The NPI number for Sunrise Second Assisted Living Holdings, LLC is 1396947826. It was assigned to this organization in the NPPES registry on June 5, 2007. The provider is also known as Sunrise Of Palos Park.
Where is Sunrise Second Assisted Living Holdings, LLC located?
Sunrise Second Assisted Living Holdings, LLC is located at 12828 S La Grange Rd, Palos Park, IL 60464. The listed phone number is (708) 361-3577.
What is Sunrise Second Assisted Living Holdings, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Sunrise Second Assisted Living Holdings, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2195453) is associated with this NPI, valid through October 7, 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 Second Assisted Living Holdings, LLC 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.
