Ehf Sunrise Op, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3134 Issued in WI

Legal business name

EHF SUNRISE OP, LLC

Practice address

3540 S 43Rd St
Milwaukee, WI 53220-1502

Phone

(414) 541-1000

Fax

(414) 541-1942

NPI assigned

Mar 15, 2007

Organization subpart

Yes

Parent organization

EXTENDICARE HEALTH FACILITIES INC.As reported in NPPES

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

Authorized official

Name

Donna Jo Maassen

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunrise Care Center Doing business as

Part of

Mayville Nursing and Rehab

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1942334883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032903",
            "telephone_number": "414-908-8119",
            "fax_number": "414-908-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S 43RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532201502",
            "telephone_number": "414-541-1000",
            "fax_number": "414-541-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHF SUNRISE OP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXTENDICARE HEALTH FACILITIES INC.",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "414-908-8119"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20198900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Elizabeth Egly, LPC-IT
• Egria Medical Logistics, LLC
• Egria Medical Logistics, LLC
• Gloria Lee Ehardt, LCSW
• Ehf Lake Country SNF Op LLC
• Mark Ehioghae, MS
• James L Ehlers, APNP
• Mark Ehlers
• Carey A Ehlert, MD
• Hailey Ehr

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

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