Organization Active NPI

Sunnyview Health Care Center Inc.

  • Skilled Nursing Facility
  • Princeton, WI
National Provider Identifier
1790712206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2569 Issued in WI
Legal business name
SUNNYVIEW HEALTH CARE CENTER INC.
Practice address
900 Sunnyview LN
Princeton, WI 54968-9262
Phone
(920) 295-6463
Fax
(920) 295-4412
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lisa Marie Sorensen
Title
Nursing Home Administrator
Phone
(920) 295-6463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2569 WI Primary

Addresses

Primary practice location

900 Sunnyview LN
Princeton, WI 54968-9262

Mailing address

900 Sunnyview LN
Princeton, WI 54968-9262
Phone (920) 295-6463

Other identifiers 1

IdentifierTypeStateIssuer
20193400MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790712206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SUNNYVIEW LN",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "549689262",
            "telephone_number": "920-295-6463",
            "fax_number": "920-295-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SUNNYVIEW LN",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "549689262",
            "telephone_number": "920-295-6463",
            "fax_number": "920-295-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYVIEW HEALTH CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "920-295-6463",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20193400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WI

Sources for this page

  • 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.