Active NPI
Sunnyview Health Care Center Inc.
- Skilled Nursing Facility
- Princeton, WI
National Provider Identifier
1790712206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2569
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20193400 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI 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.