Organization Active NPI

Traer Nursing Care Center, Inc.

Doing business as Sunrise Hill Nursing & Rehab Center

  • Skilled Nursing Facility
  • Traer, IA
National Provider Identifier
1285777847
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
860226 Issued in IA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0803916MedicaidIA

Other names 1

  • Sunrise Hill Nursing & Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CenterCCN 165286 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 15, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7658.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Hill Care Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NameRoleSinceShare
Individual Adp of the SNF Mar 1, 2023
PM Acquisition LLC Organization, Iowa City, IA LLC, Consulting firm Adp of the SNF Mar 31, 2022
Individual Adp of the SNF Oct 1, 2020
Blue Stone Therapy Inc Organization, Urbandale, IA Corporation, Consulting firm Adp of the SNF Mar 1, 2023
Bruce Grimm Individual Operational/Managerial Control Oct 10, 2005
Jeffrey Jacobs Individual Corporate DirectorDirector Oct 1, 2020
Sandra Sheda Individual Corporate OfficerBoard Treasurer Apr 1, 1997
Sandra Wilson Individual Corporate OfficerBoard Vice President Oct 1, 2018
Roxie Konicek Individual Operational/Managerial Control Oct 31, 1995
Individual Adp of the SNF Dec 1, 2023
Individual Adp of the SNF Mar 31, 2022
Troy a Renaud Individual Operational/Managerial Control Apr 7, 2023
Adp of the SNF Feb 17, 2026
Individual Adp of the SNF Oct 1, 2020
Denise Overton Individual Corporate OfficerBoard President Feb 1, 2015
Sandra Hulst Individual Operational/Managerial Control Oct 20, 2009
Daniel M Larmore Individual Operational/Managerial Control Mar 18, 2024
Adp of the SNF Feb 17, 2026
Jammie Howard Individual Corporate DirectorDirector Oct 1, 2024
Individual Adp of the SNF Mar 31, 2022
Individual Adp of the SNF Oct 1, 2024
Kristin Whitmore Individual Operational/Managerial Control Mar 10, 2014
Individual Adp of the SNF Oct 1, 2020
Individual Adp of the SNF Mar 31, 2022
Bowman and Miller PC Organization, Marshalltown, IA Corporation, Consulting firm Adp of the SNF Oct 1, 2020
Delores Carver Individual Operational/Managerial Control Feb 3, 2015
James Owens Individual Corporate OfficerBoard Secretary Jan 1, 1995
Individual Adp of the SNF Mar 31, 2022
J Evans Nutrition Consulting LLC Organization, Cambridge, IA LLC, Consulting firm Adp of the SNF Dec 1, 2023
Scott Monat Individual Corporate DirectorDirector Oct 1, 2021
Individual Adp of the SNF Mar 1, 2023
Individual Adp of the SNF Oct 1, 2019
Brighton Consulting Group LLC Organization, Urbandale, IA LLC, Consulting firm 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.

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

Verify at the official NPI Registry.