Sunnybrook Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUNNYBROOK HOMECARE LLC

Doing business as

Sunnybrook Home Care

Practice address

400 Highland St Ste 102
Fairfield, IA 52556-3713

Phone

(641) 472-4808

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Yisroel Kaplan

Title

Owner

Phone

(917) 337-8816

Specialties & licenses 1

Addresses

Other names 1

• Sunnybrook Home Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Home health agency certification: CCN 167290

Legal name

SUNNYBROOK HOMECARE LLC

Doing business as

SUNNYBROOK HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 30, 2001

Last certification

Feb 3, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 26, 2021 in IA

Enrollment address

400 Highland St
Ste 102
Fairfield, IA 52556-3713

Listed as

Sunny Brook Home CareCCN 167290 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Nov 30, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Sunnybrook Home Care, Inc.

  • Home Health Agency
  • Fairfield, IA
  • NPI 1538171947

  Acquired from, 2022-03-01

  CMS change of ownership

Affiliated clinicians 1

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

• Sebastian M Harris, MD

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1932547718

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1396407417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND ST STE 102",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND ST STE 102",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563713",
            "telephone_number": "641-472-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYBROOK HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-337-8816"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnybrook Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen C. Vantasell, D.D.S.,P.C.
• Summit Pharmacy of Iowa, Inc (Summit Pharmacy)
• Sunny Brook Living Care Center, L.C. (Sunny Brook Living Care Center)
• Sunnybrook Assisted Living, Inc.
• Sunnybrook Home Care, Inc.
• Sunnybrook Operations LLC (Prestige Care Center of Fairfield)
• Larry D. Sutton, MD
• Ayla Sypersma, L.M.T
• Teresa Pappas
• The Fairfield Clinic P.C.

• Home Health Agency in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.