# SJV 1 MADISON OPCO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunrise of Madison
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033796925
- **Authorized official:** MICHAEL DEPEOLA (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (973) 301-0005

## Contact information

- **Practice address:** 215 MADISON AVE, MADISON, NJ 07940-1003
- **Practice address phone:** (973) 301-0005
- **Practice address fax:** (973) 301-0022
- **Mailing address:** 215 MADISON AVE, MADISON, NJ 07940-1003
- **Mailing address phone:** (973) 301-0005
- **Mailing address fax:** (973) 301-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 03/26/2021