Sunnyside Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNNYSIDE RETIREMENT HOME

Practice address

1600 US Highway 221 S
Forest City, NC 28043-7052

Phone

(828) 286-3025

Fax

(828) 286-9669

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wayne Wellmon Jr., PRESIDENT

Title

Administrator

Phone

(704) 300-7646

Specialties & licenses 1

Addresses

Tax ID family

Hillcrest Retirement Home2 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.

• Hillcrest Retirement Home

  • Assisted Living Facility
  • Forest City, NC
  • NPI 1881829091
  NPD tax ID

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619004314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 US HIGHWAY 221 S",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280437052",
            "telephone_number": "828-286-3025",
            "fax_number": "828-286-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 US HIGHWAY 221 S",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280437052",
            "telephone_number": "828-286-3025",
            "fax_number": "828-286-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-300-7646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Moore Stansell, M.S.P., CF-SLP
• Harold Michael Stephenson, CCC/SLP
• Russell M Stewart III, MD
• Hannah Summerlin, M.S. CF-SLP
• Wesley Summerlin
• Anna Celeste Swink, PMHNP-C, FNP-C
• Phillip R. Talbert, PA-C
• John Parker Tate, OTR/L
• Tonya Taylor
• The Hearing Aid Center, LLC

• Assisted Living Facility in Forest City, NC
• Providers in Forest City, NC by specialty
• Assisted Living Facility in North Carolina

• 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.