SUNRISE OF MOUNTAIN LAKES
NPI 1457070138
Assisted Living Facility in Mountain Lakes, NJ

Active since August 25, 2022CLIA 31D2252159 · Waiver
23 BLOOMFIELD AVE, MOUNTAIN LAKES, NJ 07046(973) 461-7410(973) 461-7472 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2024, Aug 25, 2022 (2 updates tracked since 2022).

About Sunrise Of Mountain Lakes NPPES

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

SUNRISE OF MOUNTAIN LAKES (NPI 1457070138) is a healthcare organization registered as an assisted living facility in Mountain Lakes, New Jersey and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Tony J. Harris, Senior Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1457070138
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUNRISE OF MOUNTAIN LAKES OPCO, LLC
Location Address23 BLOOMFIELD AVEMountain Lakes, NJ 07046-1429
Mailing Address23 Bloomfield AveMountain Lakes, NJ 07046-1429 · (973) 461-7410 · Fax (973) 461-7472
Fax(973) 461-7472
Organization SubpartNo
Authorized OfficialTony J. HarrisSenior Reimbursement Manager · (703) 854-0830
Enumeration DateAugust 25, 2022
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1457070138 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.
23 BLOOMFIELD AVE, Mountain Lakes, NJ 07046

Other Names 1

Doing Business AsSunrise Of Mountain Lakes

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 31D2252159

Sunrise Of Mountain Lakes · Mountain Lakes, NJ
Active · expires Feb 8, 2028
CLIA Number31D2252159
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorStacie Erlemann
Laboratory Phone(973) 461-7410
Laboratory LocationSunrise Of Mountain Lakes23 Bloomfiield Lakes, Mountain Lakes, NJ 07046
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

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

Occupational Therapist
23 BLOOMFIELD AVE
MOUNTAIN LAKES, NJ 07046

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 Of Mountain Lakes Opco, LLC's NPI number?

The NPI number for Sunrise Of Mountain Lakes Opco, LLC is 1457070138. It was assigned to this organization in the NPPES registry on August 25, 2022. The provider is doing business as Sunrise Of Mountain Lakes.

Where is Sunrise Of Mountain Lakes Opco, LLC located?

Sunrise Of Mountain Lakes Opco, LLC is located at 23 Bloomfield Ave, Mountain Lakes, NJ 07046. The listed phone number is (973) 461-7410.

What is Sunrise Of Mountain Lakes Opco, LLC's specialty?

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

Does Sunrise Of Mountain Lakes Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2252159) is associated with this NPI, valid through February 8, 2028. 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 Of Mountain Lakes Opco, LLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.