Sun Prairie Healthcare Operations, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

2598 Issued in WI

Legal business name

SUN PRAIRIE HEALTHCARE OPERATIONS, LLC

Practice address

228 W Main St
Sun Prairie, WI 53590-2908

Phone

(608) 837-5959

Fax

(608) 825-4390

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Kenneth Dao

Title

Vice President

Phone

(714) 401-9960

Specialties & licenses 1

Addresses

Other names 1

• Sun Prairie Health Care Center Doing business as

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1174025936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902908",
            "telephone_number": "608-837-5959",
            "fax_number": "608-825-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902908",
            "telephone_number": "608-837-5959",
            "fax_number": "608-825-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PRAIRIE HEALTHCARE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-401-9960"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WI",
            "license": "2598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Prairie Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen J Sullivan, LCSW
• Kevin A. Sullivan, L.I.S.W.
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• Nursing Care Agency in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Nursing Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.