Sunnybrook of Ft. Madison

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0280 Issued in IA

Legal business name

SUNNYBROOK OF FT. MADISON

Practice address

5052 River Valley Road
Ft. Madison, IA 52627

Phone

(319) 372-8611

NPI assigned

Oct 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly C Purdy

Title

Manager

Phone

(319) 372-8611

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1013169929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 RIVER VALLEY ROAD",
            "city": "FT. MADISON",
            "state": "IA",
            "postal_code": "52627",
            "telephone_number": "319-372-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 RIVER VALLEY ROAD",
            "city": "FT. MADISON",
            "state": "IA",
            "postal_code": "52627",
            "telephone_number": "319-372-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYBROOK OF FT. MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-372-8611"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navaro Noah Spartaco, M.D.
• Joseph David St Clair, DC
• Timothy Staudte, D.O.
• Leah Steffensmeier, M.D.
• Regan Stellern, CPNP-PC, DNP
• Susan E Teggatz, MD
• Debra J Tinguely, PHARM.D
• Lorelei LC Titus-Hooper, OTR/L
• Eugenio Torres, M.D.
• Gerald A Tripp, D.D.S

• Assisted Living Facility in Ft. Madison, IA
• Providers in Ft. Madison, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.