Organization Active NPI

Grundy County Nursing Home District

Doing business as Sunnyview Nursing Home & Apartments

  • Skilled Nursing Facility
  • Trenton, MO
National Provider Identifier
1649242876
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
035512
Legal business name
GRUNDY COUNTY NURSING HOME DISTRICT
Doing business as
Sunnyview Nursing Home & Apartments
Practice address
1311 E 28TH St
Trenton, MO 64683
Phone
(660) 359-5647
Fax
(660) 359-4111
NPI assigned
Feb 2, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Mr. Jerry B Doerhoff, LNHA
Title
Administrator
Phone
(660) 359-5647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 035512 Primary

Addresses

Primary practice location

1311 E 28TH St
Trenton, MO 64683

Mailing address

1311 E 28TH St
Trenton, MO 64683
Phone (660) 359-5647

Other identifiers 2

IdentifierTypeStateIssuer
91044019OtherBCBS
101496404MedicaidMO

Other names 1

  • Sunnyview Nursing Home & Apartments Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000187 MO Part A Provider - Skilled Nursing Facility 5294797940 Practice locations: Trenton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649242876. Details of each certification follow.

Skilled nursing facility certification: CCN 265715

Legal name
GRUNDY COUNTY NURSING HOME
Doing business as
SUNNYVIEW NURSING HOME & APARTMENTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 26, 2000
Last certification
Jul 25, 2024
Beds
94
Ownership / control type
County
Organization structure
OtherNon-profit
Enrollment address
1311 E 28TH St
Trenton, MO 64683-1103
Nursing home name
SUNNYVIEW NURSING HOME & APARTMENTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sunnyview Nursing Home & ApartmentsCCN 265715 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Dec 26, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9453.2 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $30,295

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0445270Sunnyview Nursing Home & Apartments1311 East 28TH Street, Trenton, MO 64683Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Grundy County Nursing Home Organization, Trenton, MO Created for acquisition Other Mar 17, 1969 100%
Donita Youtsey Individual Corporate DirectorAdministrator Mar 19, 2013
W-2 Managing EmployeeAdministrator Mar 19, 2013
OtherGrundy County Nursing Home District Mar 17, 1969 100%

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 4

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": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1649242876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E 28TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "64683",
            "telephone_number": "660-359-5647",
            "fax_number": "660-359-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E 28TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "64683",
            "telephone_number": "660-359-5647",
            "fax_number": "660-359-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY COUNTY NURSING HOME DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "DOERHOFF",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-359-5647",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": "035512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91044019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101496404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyview Nursing Home & Apartments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, MO

Sources for this page

Verify at the official NPI Registry.