Sunnycrest Manor

LBN: County Of Dubuque
Sunnycrest Manor is an health care organization with primary practice located at 2375 Roosevelt St , Dubuque IA 52001-1479. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. County Of Dubuque can be contacted via phone (563) 583-1781, or through Hedley, Cathryn M. via phone (563) 583-1781.

Contact Information

Primary practice address
2375 Roosevelt St Dubuque IA 52001-1479
Phone: (563) 583-1781
Fax: (563) 583-1705
Website:
Map and Directions
Authorized official contact:
Name: Hedley, Cathryn M. NURSING HOME ADMINIS
Phone: (563) 583-1781

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 310304 Iowa
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 310304 Iowa
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 310304 Iowa
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X IMR-304 Iowa

Profile Details

NPI number 1215934955
LBN Legal business name County Of Dubuque
DBA Doing business as Sunnycrest Manor
Authorized official Hedley, Cathryn M. NURSING HOME ADMINIS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 1st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215934955 NPPES
Iowa MEDICAID 0803866

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