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SUNRISE RESIDENTIAL SERVICES LLC
NPI 1477055796
Assisted Living Facility in Roseville, MN

Active since March 02, 2018
216 MAPLE LN, ROSEVILLE, MN 55113(206) 458-3553 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2019, Jun 13, 2018, Mar 2, 2018 (3 updates tracked since 2018).

About Sunrise Residential Services Llc NPPES

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

SUNRISE RESIDENTIAL SERVICES LLC (NPI 1477055796) is a healthcare organization registered as an assisted living facility in Roseville, Minnesota and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Minneapolis and lists Tufah Hassan Moallin, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1477055796
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUNRISE RESIDENTIAL SERVICES LLC
Location Address216 MAPLE LNRoseville, MN 55113
Mailing Address216 Maple LnRoseville, MN 55113 · (206) 458-3553
Phone(206) 458-3553
Organization SubpartNo
Authorized OfficialTufah Hassan MoallinOwner/manager · (206) 458-3553
Enumeration DateMarch 2, 2018
Last NPPES UpdateAugust 16, 20193 updates tracked since enumeration
✔ NPI 1477055796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedNursing CareTaxonomy 251J00000X · License 385493 (MN)
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 1091521 (MN)
Also ListedHome Delivered MealsTaxonomy 332U00000X · License 1091521 (MN)
216 MAPLE LN, Roseville, MN 55113
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Secondary Practice Location 1

Location 1310 E 38th St Suite #206Minneapolis, MN 55409 · Phone (206) 458-3553

Other Providers at the Same Location NPPES

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

SUNRISE RESIDENTIAL SERVICES LLC
Assisted Living Facility
216 MAPLE LN
ROSEVILLE, MN 55113
Ramsey County (651) 528-6363

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 Residential Services LLC's NPI number?

The NPI number for Sunrise Residential Services LLC is 1477055796. It was assigned to this organization in the NPPES registry on March 2, 2018.

Where is Sunrise Residential Services LLC located?

Sunrise Residential Services LLC is located at 216 Maple Ln, Roseville, MN 55113. The listed phone number is (206) 458-3553.

What is Sunrise Residential Services 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 Sunrise Residential Services LLC was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.