Sunny Ridge Health and Rehab

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

3086-026 Issued in WI

Legal business name

SUNNY RIDGE HEALTH AND REHAB

Practice address

3014 Erie Ave
Sheboygan, WI 53081-3658

Phone

(920) 459-3028

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By 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

Michelle M. Kastenholz, OTRNPI 1386309086

Title

Regional Director of Therapy

Phone

(612) 747-0119

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Kastenholz, OTR

  • Occupational Therapist
  • Cedarburg, WI
  • NPI 1386309086
  Authorized official Same address or phone

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427266550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 N 71ST ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131349",
            "telephone_number": "612-747-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 ERIE AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813658",
            "telephone_number": "920-459-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY RIDGE HEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASTENHOLZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF THERAPY",
        "authorized_official_telephone_number": "612-747-0119",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "3086-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Sullivan, PHARMD
• Kristin Summers
• Kialeah Yvette Sumpter, LMSW
• Yang Sun, APNP
• Sunny Ridge
• Sunny Ridge Health and Rehabilitation Center
• Sunny Ridge Nursing and Rehabilitation Center, LLC
• Sunny Ridge Operations LLC
• Sunny Ridge Rehabilitation Center LLC
• Surgery Center of Sheboygan LLC

• Nursing Facility/Intermediate Care Facility in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Nursing Facility/Intermediate Care Facility in Wisconsin

• 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.