Sunset Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

414030 Issued in MI

Legal business name

SUNSET MANOR, INC.

Practice address

3400 Wilson Ave SW
Grandville, MI 49418-1854

Phone

(616) 534-5487

Fax

(616) 534-2150

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lori Herbig

Title

Executive Director - Brookcrest

Phone

(616) 534-5487

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookcrest Doing business as

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154324754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181854",
            "telephone_number": "616-534-5487",
            "fax_number": "616-534-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181854",
            "telephone_number": "616-534-5487",
            "fax_number": "616-534-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERBIG",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR -  BROOKCREST",
        "authorized_official_telephone_number": "616-534-5487",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "414030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154383",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookcrest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Joseph Stock, M.D.
• David M Strand, DDS,MS
• Lori Strehler, LMSW
• Sarah Sullivan, OD
• Patrick J Sundt, LMSW
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• Hollister Christian Swanson, MD

• Skilled Nursing Facility in Grandville, MI
• Providers in Grandville, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.