Sunnybrook Assisted Living, Inc.

LBN: Sunnybrook Assisted Living, Inc.
Sunnybrook Assisted Living, Inc. is an health care organization with primary practice located at 3000 W Madison Ave , Fairfield IA 52556-4205. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Sunnybrook Assisted Living, Inc. can be contacted via phone (641) 469-5778, or through Howell, Betty Diane via phone (641) 469-5778.

Contact Information

Primary practice address
3000 W Madison Ave Fairfield IA 52556-4205
Fax: (641) 469-4529
Website:
Authorized official contact:
Name: Howell, Betty Diane

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X SO170 Iowa

Profile Details

NPI number 1730391947
LBN Legal business name Sunnybrook Assisted Living, Inc.
DBA Doing business as
Authorized official Howell, Betty Diane
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 6 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 1730391947 NPPES
Iowa MEDICAID 0158717

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