SUNRISE OF DES PERES
NPI 1417112608
Assisted Living Facility in Des Peres, MO

Q: What is Sunrise Senior Living Management, Inc.'s specialty?

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

Active since July 28, 2008CLIA 26D2196799 · Waiver

13460 MANCHESTER RD, DES PERES, MO 63131(314) 965-3800(314) 965-3809 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sunrise Of Des Peres NPPES

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

SUNRISE OF DES PERES (NPI 1417112608) is a healthcare organization registered as an assisted living facility in Des Peres, Missouri and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Tom Brozka, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417112608

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUNRISE SENIOR LIVING MANAGEMENT, INC.

Location Address13460 MANCHESTER RDDes Peres, MO 63131-1734

Mailing Address13460 Manchester RdDes Peres, MO 63131-1734 · (314) 965-3800 · Fax (314) 965-3809

Phone(314) 965-3800

Fax(314) 965-3809

Organization SubpartNo

Authorized OfficialTom BrozkaExecutive Director · (314) 965-3800

Enumeration DateJuly 28, 2008

✔ NPI 1417112608 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.

13460 MANCHESTER RD, Des Peres, MO 63131

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Other Names 1

Doing Business AsSunrise Of Des Peres

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 26D2196799

Sunrise Of Des Peres · Des Peres, MO

Active · expires Oct 19, 2026

CLIA Number26D2196799

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 20, 2024

Certificate Expiration DateOctober 19, 2026

Laboratory DirectorTerri Mitchell

Laboratory Phone(314) 965-3800

Laboratory LocationSunrise Of Des Peres13460 Manchester Road, Des Peres, MO 63131

CLIA data matches this NPI record on: Address Name 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 Senior Living Management, Inc.'s NPI number?

The NPI number for Sunrise Senior Living Management, Inc. is 1417112608. It was assigned to this organization in the NPPES registry on July 28, 2008. The provider is doing business as Sunrise Of Des Peres.

Where is Sunrise Senior Living Management, Inc. located?

Sunrise Senior Living Management, Inc. is located at 13460 Manchester Rd, Des Peres, MO 63131. The listed phone number is (314) 965-3800.

What is Sunrise Senior Living Management, Inc.'s specialty?

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

Does Sunrise Senior Living Management, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2196799) is associated with this NPI, valid through October 19, 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 Senior Living Management, Inc. was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.