Sunrise Manor in Sioux City - Nursing Facility/intermediate Care Facility
Sunrise Manor - NPI 1194780189
Sunrise Manor is a Nursing Facility/intermediate Care Facility in Sioux City, Iowa. Sunrise Manor practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Sunrise Manor is 1194780189. The last update date is 2009-11-05.
Sunrise Manor's current location address is 5501 Gordon Dr, Sioux City, Iowa. You can contact this provider via phone number 7122763821 and fax number 7122020410. The mailing address for Sunrise Manor is 5501 Gordon Dr, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sunrise Manor |
|---|---|
| Address | 5501 Gordon Dr, Sioux City, Iowa |
| Phone Number | 7122763821 |
| Fax Number | 7122020410 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Zenor J. Beverly |
| Credentials | BSN, RN |
| Telephone Number | 7122763821 |
NPI Number Detail
| NPI Number | 1194780189 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2009-11-05 |
Provider Mailing Address Detail
| Address | 5501 Gordon Dr |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 511062008 |
| Phone Number | 7122763821 |
| Fax Number | 7122020410 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | N-316 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 803924 | IA | -- |
Post Comment/ Review Below
What is the Sunrise Manor's 1194780189?
The Sunrise Manor's NPI (National Provider Identifier) Number is 1194780189. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sunrise Manor?
The Sunrise Manor is physically situated at 5501 Gordon Dr, in the city of Sioux City, state of IA, with the postal code 511062008.
What is the area of specialization for Sunrise Manor, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sunrise Manor is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of expertise is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194780189 to Sunrise Manor?
The Centers for Medicare & Medicaid Services originally issued the 1194780189 to Sunrise Manor on 2006-04-20.
When was the information related to Sunrise Manor most recently updated or refreshed?
The details pertaining to the Sunrise Manor, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-11-05.
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