Sunnyside Manor

LBN: Sunnyside Manor Inc
Sunnyside Manor is an health care organization with primary practice located at 2500 Ridgewood Rd , Wall Township NJ 07719-9600. 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. Sunnyside Manor Inc can be contacted via phone (732) 528-9311, or through Keane, Maryellen via phone (732) 528-9311.

Contact Information

Primary practice address
2500 Ridgewood Rd Wall Township NJ 07719-9600
Phone: (732) 528-9311
Fax: (732) 528-9026
Website:
Map and Directions
Authorized official contact:
Name: Keane, Maryellen LNHA, CPA
Phone: (732) 528-9311

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 13A015 New Jersey

Profile Details

NPI number 1750427282
LBN Legal business name Sunnyside Manor Inc
DBA Doing business as Sunnyside Manor
Authorized official Keane, Maryellen LNHA, CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 21st, 2022 - about 4 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 1750427282 NPPES
New Jersey MEDICAID 7902514

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