Sunnybrook Assisted Living Mt. Pleasant

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0208 Issued in IA

Legal business name

SUNNYBROOK ASSISTED LIVING MT. PLEASANT

Doing business as

SunnyBrook Ashford Park Assisted Living

Practice address

1406 E Linden Dr
Mt Pleasant, IA 52641-1891

Phone

(319) 385-7227

Fax

(319) 385-3909

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By 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

Peggy Ruth Van Amerongen

Title

Assistant Manager

Phone

(319) 385-7227

Specialties & licenses 1

Addresses

Other names 1

• SunnyBrook Ashford Park Assisted Living Doing business as

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801014964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 E LINDEN DR",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411891",
            "telephone_number": "319-385-7227",
            "fax_number": "319-385-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E LINDEN DR",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411891",
            "telephone_number": "319-385-7227",
            "fax_number": "319-385-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYBROOK ASSISTED LIVING MT. PLEASANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN AMERONGEN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "319-385-7227"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SunnyBrook Ashford Park Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Mt Pleasant, IA
• Providers in Mt Pleasant, 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 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.