NPIMap

Organization Active NPI

Sunny Ridge Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Sheboygan, WI
National Provider Identifier
1063797561
Registry record updated Oct 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4854-27 Issued in WI
Legal business name
SUNNY RIDGE HEALTH AND REHABILITATION CENTER
Practice address
3014 Erie Ave
Sheboygan, WI 53081-3658
Phone
(920) 459-3028
NPI assigned
Oct 15, 2011
Last updated
Oct 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2011

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

Authorized official

Name
Mrs. Joann Patricia Sorenson
Title
Cota
Phone
(920) 459-3028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4854-27 WI Primary

Addresses

Primary practice location

3014 Erie Ave
Sheboygan, WI 53081-3658

Mailing address

3014 Erie Avenue
Sheboygan, WI 53081-3658
Phone (920) 459-3028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1063797561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 ERIE AVENUE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813658",
            "telephone_number": "920-459-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 ERIE AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813658",
            "telephone_number": "920-459-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY RIDGE HEALTH AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "920-459-3028",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "4854-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.