Sunnybrook of Muscatine

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0288 Issued in IA

Legal business name

SUNNYBROOK OF MUSCATINE

Practice address

3515 Dianna Queen Drive
Muscatine, IA 52761

Phone

(563) 263-5108

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Cris L Vetter

Title

Manager

Phone

(563) 263-5108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1750533667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 DIANNA QUEEN DRIVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "52761",
            "telephone_number": "563-263-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 DIANNA QUEEN DRIVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "52761",
            "telephone_number": "563-263-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYBROOK OF MUSCATINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "CRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-263-5108"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Muscatine, IA
• Providers in Muscatine, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.