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SUNRISE ASSISTED LIVING OF RANDOLPH
NPI 1568958882
Assisted Living Facility in Randolph, NJ

Active since July 10, 2018CLIA 31D2194549 · Waiver
648 ROUTE 10, RANDOLPH, NJ 07869(973) 328-1922(973) 328-0577 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 17, 2024, Jul 10, 2018 (2 updates tracked since 2018).

About Sunrise Assisted Living Of Randolph NPPES

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

SUNRISE ASSISTED LIVING OF RANDOLPH (NPI 1568958882) is a healthcare organization registered as an assisted living facility in Randolph, New Jersey and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through September 30, 2028 and lists Tony J. Harris, Senior Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1568958882
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWELLTOWER OPCO GROUP LLC
Location Address648 ROUTE 10Randolph, NJ 07869-2012
Mailing Address648 Route 10Randolph, NJ 07869-2012 · (973) 328-1922 · Fax (973) 328-0577
Phone(973) 328-1922
Fax(973) 328-0577
Organization SubpartYes
Authorized OfficialTony J. HarrisSenior Reimbursement Manager · (703) 854-0830
Enumeration DateJuly 10, 2018
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1568958882 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.
648 ROUTE 10, Randolph, NJ 07869
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Other Names 1

Doing Business AsSunrise Assisted Living Of Randolph

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 31D2194549

Sunrise Assisted Living Of Randolph · Randolph, NJ
Active · expires Sep 30, 2028
CLIA Number31D2194549
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 1, 2026
Certificate Expiration DateSeptember 30, 2028
Laboratory DirectorBesarta Arsllani
Laboratory Phone(973) 328-1922
Laboratory LocationSunrise Assisted Living Of Randolph648 Route 10 West, Randolph, NJ 07869
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 Welltower Opco Group LLC's NPI number?

The NPI number for Welltower Opco Group LLC is 1568958882. It was assigned to this organization in the NPPES registry on July 10, 2018. The provider is doing business as Sunrise Assisted Living Of Randolph.

Where is Welltower Opco Group LLC located?

Welltower Opco Group LLC is located at 648 Route 10, Randolph, NJ 07869. The listed phone number is (973) 328-1922.

What is Welltower Opco Group LLC's specialty?

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

Does Welltower Opco Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2194549) is associated with this NPI, valid through September 30, 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 Welltower Opco Group 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.