Sunbrook Management

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUNBROOK MANAGEMENT

Doing business as

Lee House of Eldon, LLC

Practice address

105 N Mill St
Eldon, MO 65026-1728

Phone

(573) 392-5558

Fax

(573) 392-3872

NPI assigned

Feb 25, 2019

Last updated

Feb 25, 2019By 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

Ann L Amos

Title

Owner/ LLC Member

Phone

(636) 358-3593

Specialties & licenses 1

Addresses

Other names 1

• Lee House of Eldon, LLC Doing business as

Locations

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1700343977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MILL ST",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261728",
            "telephone_number": "573-392-5558",
            "fax_number": "573-392-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MILL ST",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261728",
            "telephone_number": "573-392-5558",
            "fax_number": "573-392-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBROOK MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ LLC MEMBER",
        "authorized_official_telephone_number": "636-358-3593"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee House of Eldon, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee House of Eldon, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Smith, PLPC
• Robert Paul Snyder, MA, LADCS, CPCI, LPC
• SSM Regional Health Services (St. Marys Eldon Medical Clinic)
• John M Stalker Jr., LPC
• Kristen Shavaughn Stampehl, NP-C
• Marilyn J Sunde
• Laura M Thompson, NP-C
• Vernon Dental Clinic (King Dental Clinic)
• Caitlyn Vernon
• Josetta Eliese Wahwassuck, MSN, FNP, PMHNP

• In Home Supportive Care Agency in Eldon, MO
• Providers in Eldon, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.