Organization Active NPI

Sunnybrook Investments, Inc.

Doing business as Mark Twain Assisted Living

  • Assisted Living Facility
  • Moberly, MO
National Provider Identifier
1972359644
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUNNYBROOK INVESTMENTS, INC.
Doing business as
Mark Twain Assisted Living
Practice address
901 Union Ave
Moberly, MO 65270-2456
Phone
(660) 263-6515
Fax
(660) 263-0603
NPI assigned
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Ann L Amos, REGISTERED NURSE
Title
Managing Member
Phone
(636) 358-3593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

901 Union Ave
Moberly, MO 65270-2456

Mailing address

901 Union Ave
Moberly, MO 65270-2456
Phone (660) 263-6515

Other names 1

  • Mark Twain Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0860411Sunnybrook Investments, LLC Dba Mark Twain901 Union Ave, Moberly, MO 65270Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1972359644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 UNION AVE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702456",
            "telephone_number": "660-263-6515",
            "fax_number": "660-263-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 UNION AVE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702456",
            "telephone_number": "660-263-6515",
            "fax_number": "660-263-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYBROOK INVESTMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "636-358-3593",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Twain Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.