Sunny Brook Living Care Center, L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

511120 Issued in IA

Legal business name

SUNNY BROOK LIVING CARE CENTER, L.C.

Doing business as

Sunny Brook Living Care Center

Practice address

400 Highland St
Fairfield, IA 52556-0588

Phone

(641) 472-4111

Fax

(641) 469-4375

NPI assigned

Apr 24, 2009

Organization subpart

No

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

Authorized official

Name

Betty D Howell

Title

President

Phone

(641) 472-4111

Specialties & licenses 1

Addresses

Other names 1

• Sunny Brook Living Care Center Doing business as

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1477797173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525560588",
            "telephone_number": "641-472-4111",
            "fax_number": "641-469-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525560588",
            "telephone_number": "641-472-4111",
            "fax_number": "641-469-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY BROOK LIVING CARE CENTER, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-472-4111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "511120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Brook Living Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Iowa Neurological Associates, P.C.
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• Southern Iowa Independent Living, Inc.
• Stephen C. Vantasell, D.D.S.,P.C.
• Summit Pharmacy of Iowa, Inc
• Sunnybrook Assisted Living, Inc.
• Sunnybrook Home Care, Inc.
• Sunnybrook Homecare LLC
• Sunnybrook Operations LLC
• Larry D. Sutton, MD

• Skilled Nursing Facility in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.