Sunrise Manor Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5154321N Issued in NY

Legal business name

SUNRISE MANOR NURSING HOME, INC.

Practice address

1325 Brentwood Rd
Bay Shore, NY 11706-5704

Phone

(631) 665-4960

Fax

(631) 665-9411

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Landa

Title

Vice President

Phone

(917) 607-7595

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335568

Legal name

SUNRISE MANOR NURSING HOME, INC.

Doing business as

SUNRISE MANOR CENTER FOR NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1976

Last certification

Apr 1, 2025

Beds

84

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 25, 1991 in NY

Enrollment address

1325 Brentwood Rd
Bay Shore, NY 11706-5704

Nursing home name

SUNRISE MANOR CENTER FOR NURSING AND REHABILITATION

Listed as

Sunrise Manor Center for Nursing and RehabilitatioCCN 335568

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8481.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kamyar D Tavakoli, M.D,

  • Internal Medicine Physician
  • Hollis, NY
  • NPI 1528148475

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arun Arora, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Flushing, NY
  • NPI 1154326825
  NPD (past)
• Daniel Refoua, DO

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1598146383
  NPD (past)
• Dinesh Sethi, MD

  • Internal Medicine Physician
  • Wyandanch, NY
  • NPI 1194763920
  NPD (past)
• Kamyar D Tavakoli, M.D,

  • Internal Medicine Physician
  • Hollis, NY
  • NPI 1528148475
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Daniel Refoua, DO

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1598146383

  Nursing home

  Care Compare affiliation
• Kamyar D Tavakoli, M.D,

  • Internal Medicine Physician
  • Hollis, NY
  • NPI 1528148475

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1073568671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065704",
            "telephone_number": "631-665-4960",
            "fax_number": "631-665-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065704",
            "telephone_number": "631-665-4960",
            "fax_number": "631-665-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MANOR NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "917-607-7595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5154321N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jadyn Elizabeth Sullivan, OTR/L
• Janine Sullivan, RN
• Matthew Sumicad
• Sun Ray Super Drugs Inc.
• Sun Ray Super Drugs Inc.
• Azhar Supariwala, M.D
• Ann Valerie Surpris
• Chelsea Elizabeth Sweeney, OTR/L
• Sean Sweeney
• Megan K Swift, LMSW

• Skilled Nursing Facility in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.