NPIMap

Organization Active NPI

Sunny Acres

Doing business as Sunny Acres Nursing Home

  • Skilled Nursing Facility
  • Petersburg, IL
National Provider Identifier
1497856785
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0005009 Issued in IL
Legal business name
SUNNY ACRES
Doing business as
Sunny Acres Nursing Home
Practice address
19130 Sunny Acres Rd
Petersburg, IL 62675-7306
Phone
(217) 632-2334
Fax
(217) 632-7092
NPI assigned
Sep 26, 2006
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
David Underwood
Title
Exec VP & Cfo
Phone
(309) 823-7135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0005009 IL Primary

Addresses

Primary practice location

19130 Sunny Acres Rd
Petersburg, IL 62675-7306

Mailing address

19130 Sunny Acres Rd
Petersburg, IL 62675-7306
Phone (217) 632-2334

Other names 1

  • Sunny Acres Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000877 IL Part A Provider - Skilled Nursing Facility 9335126937 Practice locations: Petersburg, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497856785. Details of each certification follow.

Skilled nursing facility certification: CCN 146068

Legal name
SUNNY ACRES
Doing business as
SUNNY ACRES NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2004
Last certification
Mar 5, 2025
Beds
106 (99 certified)
Ownership / control type
County
Organization structure
OtherNon-profit
Enrollment address
19130 Sunny Acres Rd
Petersburg, IL 62675-7306
Nursing home name
SUNNY ACRES NURSING HOME
Affiliated entity
HERITAGE OPERATIONS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sunny Acres Nursing HomeCCN 146068 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Oct 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9975.9 residents per day on average
Chain
Heritage Operations Group9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
7Fines totaling $465,165

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Sunny Acres2 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.

  • Sunny Acres

    dba Sunny Acres Nursing Home

    • Oxygen Equipment & Supplies (DME)
    • Petersburg, IL
    • NPI 1447609979
    NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Maoxiim N Tellez Individual Operational/Managerial Control Jun 1, 2007
Adp of the SNF Jun 1, 2007
Edwin Whitcomb Individual Corporate DirectorDirector Jun 19, 2017 20%
County of Menard Organization, Petersburg, IL 5% Or Greater Direct Ownership Interest Jul 5, 2017 100%
Heritage Operations Group, LLC Organization, Bloomington, IL Operational/Managerial Control May 31, 2017 25%
Adp of the SNF Feb 18, 2025
Troy Cummings Individual Corporate DirectorDirector Jun 19, 2017 20%
Patricia Carpenter Individual Operational/Managerial Control Aug 7, 2023
Adp of the SNF Aug 7, 2023
Robert Lott Individual Corporate DirectorDirector Jun 19, 2017 20%
Jeffery Fore Individual Corporate DirectorDirector Jun 19, 2017 20%
Benjamin a Hart Individual Operational/Managerial ControlPres/Ceo Management Company May 31, 2017 50%
Daniel Curry Individual Corporate OfficerExec VP & Cfo Jun 7, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1497856785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19130 SUNNY ACRES RD",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626757306",
            "telephone_number": "217-632-2334",
            "fax_number": "217-632-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19130 SUNNY ACRES RD",
            "city": "PETERSBURG",
            "state": "IL",
            "postal_code": "626757306",
            "telephone_number": "217-632-2334",
            "fax_number": "217-632-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY ACRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXEC VP & CFO",
        "authorized_official_telephone_number": "309-823-7135"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0005009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Acres Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petersburg, IL

Sources for this page

Verify at the official NPI Registry.