Active NPI
Traer Nursing Care Center, Inc.
Doing business as Sunrise Hill Nursing & Rehab Center
- Skilled Nursing Facility
- Traer, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 860226
- Legal business name
- TRAER NURSING CARE CENTER, INC.
- Doing business as
- Sunrise Hill Nursing & Rehab Center
- Practice address
- 909 6TH St
Traer, IA 50675-1311 - Phone
- (319) 478-2730
- Fax
- (319) 478-2728
- NPI assigned
- Feb 14, 2007
- Last updated
- Dec 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stanley F Hladik
- Title
- President
- Phone
- (319) 478-2730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 860226 | IA | Primary |
Addresses
Primary practice location
909 6TH St
Traer, IA 50675-1311
Mailing address
909 6TH St
Traer, IA 50675-1311
Phone (319) 478-2730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803916 | Medicaid | IA |
Other names 1
- Sunrise Hill Nursing & Rehab Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111220000514 | IA | Part A Provider - Skilled Nursing Facility | 6406022524 | Practice locations: Traer, IA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285777847. Details of each certification follow.
Skilled nursing facility certification: CCN 165286
- Legal name
- TRAER NURSING CARE CENTER INC
- Doing business as
- SUNRISE HILL CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 15, 1996
- Last certification
- Oct 31, 2024
- Beds
- 76
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 909 6TH St
Traer, IA 50675-1311 - Nursing home name
- SUNRISE HILL CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sunrise Hill Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 15, 1996
- Medicare certification status
- Active
- Certified beds
- 76
National Provider Directory
National Provider Directory- Tax ID family
- Sunrise Hill Care Rehab Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sunrise Hill Care & Rehab Center
- Rehabilitation Clinic/Center
- Traer, IA
- NPI 1285628214
Ownership & related parties
All disclosed owners & managing parties 31
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Mar 1, 2023 | ||
| PM Acquisition LLC | Adp of the SNF | Mar 31, 2022 | |
| Adp of the SNF | Oct 1, 2020 | ||
| Blue Stone Therapy Inc | Adp of the SNF | Mar 1, 2023 | |
| Bruce Grimm | Operational/Managerial Control | Oct 10, 2005 | |
| Jeffrey Jacobs | Corporate Director | Oct 1, 2020 | |
| Sandra Sheda | Corporate Officer | Apr 1, 1997 | |
| Sandra Wilson | Corporate Officer | Oct 1, 2018 | |
| Roxie Konicek | Operational/Managerial Control | Oct 31, 1995 | |
| Adp of the SNF | Dec 1, 2023 | ||
| Adp of the SNF | Mar 31, 2022 | ||
| Troy a Renaud | Operational/Managerial Control | Apr 7, 2023 | |
| Adp of the SNF | Feb 17, 2026 | ||
| Adp of the SNF | Oct 1, 2020 | ||
| Denise Overton | Corporate Officer | Feb 1, 2015 | |
| Sandra Hulst | Operational/Managerial Control | Oct 20, 2009 | |
| Daniel M Larmore | Operational/Managerial Control | Mar 18, 2024 | |
| Adp of the SNF | Feb 17, 2026 | ||
| Jammie Howard | Corporate Director | Oct 1, 2024 | |
| Adp of the SNF | Mar 31, 2022 | ||
| Adp of the SNF | Oct 1, 2024 | ||
| Kristin Whitmore | Operational/Managerial Control | Mar 10, 2014 | |
| Adp of the SNF | Oct 1, 2020 | ||
| Adp of the SNF | Mar 31, 2022 | ||
| Bowman and Miller PC | Adp of the SNF | Oct 1, 2020 | |
| Delores Carver | Operational/Managerial Control | Feb 3, 2015 | |
| James Owens | Corporate Officer | Jan 1, 1995 | |
| Adp of the SNF | Mar 31, 2022 | ||
| J Evans Nutrition Consulting LLC | Adp of the SNF | Dec 1, 2023 | |
| Scott Monat | Corporate Director | Oct 1, 2021 | |
| Adp of the SNF | Mar 1, 2023 | ||
| Adp of the SNF | Oct 1, 2019 | ||
| Brighton Consulting Group LLC | Adp of the SNF | Oct 1, 2024 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
Adp of the SNF
-
dba Medicap Pharmacy LTC Waterloo
- Long Term Care Pharmacy
- Waterloo, IA
- NPI 1508339425
Adp of the SNF
-
dba Medicap Pharmacy LTC Iowa City
- Long Term Care Pharmacy
- Iowa City, IA
- NPI 1588900047
Adp of the SNF
-
- Family Medicine Physician
- La Porte City, IA
- NPI 1164478467
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1285777847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 6TH ST",
"city": "TRAER",
"state": "IA",
"postal_code": "506751311",
"telephone_number": "319-478-2730",
"fax_number": "319-478-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 6TH ST",
"city": "TRAER",
"state": "IA",
"postal_code": "506751311",
"telephone_number": "319-478-2730",
"fax_number": "319-478-2728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAER NURSING CARE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "HLADIK",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-478-2730"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IA",
"license": "860226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0803916",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Hill Nursing & Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Traer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.