NPIMap

Organization Active NPI

Sunset Manor, Inc.

  • Skilled Nursing Facility
  • Irene, SD
National Provider Identifier
1982016739
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10636 Issued in SD
Legal business name
SUNSET MANOR, INC.
Practice address
129 E Clay St
Irene, SD 57037-2034
Phone
(605) 263-3318
Fax
(605) 263-3334
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Audrey Kolbeck
Title
Business Manager
Phone
(605) 263-3318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10636 SD Primary

Addresses

Primary practice location

129 E Clay St
Irene, SD 57037-2034

Mailing address

129 E Clay St
Irene, SD 57037-2034
Phone (605) 263-3318

Other identifiers 2

IdentifierTypeStateIssuer
0160110MedicaidSD
435100OtherSDMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Sunset Manor Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1982016739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E CLAY ST",
            "city": "IRENE",
            "state": "SD",
            "postal_code": "570372034",
            "telephone_number": "605-263-3318",
            "fax_number": "605-263-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E CLAY ST",
            "city": "IRENE",
            "state": "SD",
            "postal_code": "570372034",
            "telephone_number": "605-263-3318",
            "fax_number": "605-263-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "KOLBECK",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-263-3318"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160110",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "435100",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irene, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.