SUNNYBROOK ASSISTED LIVING, INC. (NPI# 1730391947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730391947 |
| Entity Type | Organization |
| Organization Name | SUNNYBROOK ASSISTED LIVING, INC. |
| Practice Address |
3000 W Madison Ave Fairfield IA 52556-4205 |
| Practice Telephone | 6414695778 |
| Practice Fax Number | 6414694529 |
| Mailing Telephone | 6414695778 |
| Mailing Fax Number | 6414694529 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BETTY DIANE HOWELL (VICE PRESIDENT) |
| Authorized Official Telephone | 6414695778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | SO170 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0158717 | 05 |
| Street Address |
3000 W MADISON AVE |
| City | FAIRFIELD |
| State | IA |
| Zip Code | 52556-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225337975 | Village Assisted Living LLC | Assisted Living Facility | 3000 W Madison Ave, Fairfield, IA 52556-4205 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
| 1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
| 1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| 1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
| 1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
| Find all providers in zip 52556 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
| 1497219315 | Sunrise of Fairfield Opco, LLC | Assisted Living Facility | 1571 Stratfield Rd, Fairfield, CT 06825-1376 | 2019-01-24 |
| 1336554203 | Front Range Assisted Living, Inc. | Assisted Living Facility | 615 5th Ave. North, Fairfield, MT 59436 | 2014-06-30 |
| 1154649556 | Fairfield Pavilion | Assisted Living Facility | 5251 Dixie Highway, Fairfield, OH 45014 | 2010-05-10 |
| 1831232263 | Msh West Essex Operating LLC | Assisted Living Facility | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 2007-02-15 |
| 1346736675 | Welltower Opco Group LLC | Assisted Living Facility | 47 Greenbrook Rd, Fairfield, NJ 07004-3890 | 2018-07-10 |
| 1700333168 | Fairfield Bg Opco LLC | Assisted Living Facility | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2016-09-02 |
| 1619365962 | Wc- Fairfield Ops, LLC | Assisted Living Facility | 315 Market Ave, Fairfield, IL 62837-2611 | 2015-01-08 |
| 1336498351 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2357 Mack Rd, Fairfield, OH 45014-8669 | 2012-09-05 |
| 1225337975 | Village Assisted Living LLC | Assisted Living Facility | 3000 W Madison Ave, Fairfield, IA 52556-4205 | 2011-03-21 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.