Sunset Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0011643 Issued in IL

Legal business name

SUNSET HOME

Practice address

418 Washington St
Quincy, IL 62301-4862

Phone

(217) 223-2636

Fax

(217) 223-9867

NPI assigned

Jul 26, 2005

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonni Bullington, RN, LNHA

Title

Administrator

Phone

(217) 223-2636

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215937867. Details of each certification follow.

• CCN 145800 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145800

Legal name

SUNSET HOME

Doing business as

SUNSET HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1994

Last certification

Oct 23, 2024

Beds

182 (132 certified)

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

418 Washington St
Quincy, IL 62301-4862

Nursing home name

SUNSET HOME

Listed as

Sunset HomeCCN 145800 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Oct 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13292.8 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

4Fines totaling $248,577

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Sunset Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sunset Home

  • Secured Medical Transport (VAN)
  • Quincy, IL
  • NPI 1255876504
  NPD tax ID
• Sunset Home

  • Oxygen Equipment & Supplies (DME)
  • Quincy, IL
  • NPI 1851630883
  NPD tax ID

All disclosed owners & managing parties 16

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.

• William H Dixon, M.D

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1740299759

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Affiliated clinicians 13

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

• Catherine Rose Baker, MD

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1639795552

  Nursing home

  Care Compare affiliation
• Michael Edward Connolly, M.D.

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1538110960

  Nursing home

  Care Compare affiliation
• Louis Y Kim, M.D.

  • Internal Medicine Physician
  • Quincy, IL
  • NPI 1467425405

  Nursing home

  Care Compare affiliation
• Taylor J. Moore, DO

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1033420690

  Nursing home

  Care Compare affiliation
• Stephen Warner Nesbit, DO

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1356401343

  Nursing home

  Care Compare affiliation
• Pravinchandra C Patel, MD

  • Internal Medicine Physician
  • Quincy, IL
  • NPI 1548233448

  Nursing home

  Care Compare affiliation
• Crystal L. Perry, M.D.

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1689682528

  Nursing home

  Care Compare affiliation
• Surya Theja Polavarapu, MD

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1780242776

  Nursing home

  Care Compare affiliation
• Adam M Reyburn, M.D.

  • Internal Medicine Physician
  • Quincy, IL
  • NPI 1396710042

  Nursing home

  Care Compare affiliation
• Stephanie A Reyburn, MD

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1134140247

  Nursing home

  Care Compare affiliation
• Imran Shaikh, MD

  • Internal Medicine Physician
  • Quincy, IL
  • NPI 1699120535

  Nursing home

  Care Compare affiliation
• Isidoros Vardaros, MD

  • Family Medicine Physician
  • Quincy, IL
  • NPI 1841509304

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1215937867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 WASHINGTON ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014862",
            "telephone_number": "217-223-2636",
            "fax_number": "217-223-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WASHINGTON ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014862",
            "telephone_number": "217-223-2636",
            "fax_number": "217-223-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "BULLINGTON",
        "authorized_official_first_name": "JONNI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-223-2636",
        "authorized_official_credential": "RN, LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0011643",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0011643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011643",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Sublette
• Brady Sullivan, BA,MHP
• Corey Sullivan, CRNA
• Douglas N Sullivant, MD
• Ashley Summers, RSA
• Sunset Home
• Sunset Home
• Superior Performance Eye Care Services, Inc (Specs)
• Conward Matthew Swift II, PHARMD, MBA
• Hollis Stephen Swink, MA, ICCS, LCPC, CAAD

• Skilled Nursing Facility in Quincy, IL
• Providers in Quincy, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.