Sunrise Nursing Home Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3702311N Issued in NY

Legal business name

SUNRISE NURSING HOME INC.

Practice address

17 Sunrise Dr
Oswego, NY 13126-1838

Phone

(315) 342-4790

Fax

(315) 342-5365

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Steven Reynolds

Title

Administrator

Phone

(315) 342-4790

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Morningstar Care 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.

• Morningstar Care Center

  • Skilled Nursing Facility
  • Oswego, NY
  • NPI 1437446101
  NPD tax ID

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396741773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SUNRISE DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261838",
            "telephone_number": "315-342-4790",
            "fax_number": "315-342-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SUNRISE DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261838",
            "telephone_number": "315-342-4790",
            "fax_number": "315-342-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE NURSING HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-342-4790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3702311N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01641309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Sudore
• Linda Marie Sugar, LMSW
• Kathleen Ann Sullivan, M.S.CCC-SLP
• Mary Beth Sullivan, MS ED, CCC-SLP
• Nicolette Sullivan, CTRS
• Suny Oswego Walker Health Center
• Richard Suphan
• Nicole Surace, OT
• Jennifer Elizabeth Lola Swanson
• Maria Christine Sweeney

• Skilled Nursing Facility in Oswego, NY
• Providers in Oswego, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.