Sunny Ridge Health And Rehabilitation Center

LBN: Lss Of Sheboygan, Llc
Sunny Ridge Health And Rehabilitation Center is an health care organization with primary practice located at 3014 Erie Ave , Sheboygan WI 53081-3658. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lss Of Sheboygan, Llc can be contacted via phone (920) 459-3028, or through Stark, Jeanne via phone (920) 459-3028.

Contact Information

Primary practice address
3014 Erie Ave Sheboygan WI 53081-3658
Phone: (920) 459-3028
Fax: (920) 459-4341
Website:
Map and Directions
Authorized official contact:
Name: Stark, Jeanne
Phone: (920) 459-3028

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2363 Wisconsin

Profile Details

NPI number 1801968847
LBN Legal business name Lss Of Sheboygan, Llc
DBA Doing business as Sunny Ridge Health And Rehabilitation Center
Authorized official Stark, Jeanne
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 17th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801968847 NPPES
Wisconsin MEDICAID 20198500

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