Sunnyside Manor

LBN: Sunnyside Manor Inc
Sunnyside Manor is an health care organization with primary practice located at 2500 Ridgewood Rd , Wall Township NJ 07719-9600. 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. Sunnyside Manor Inc can be contacted via phone (732) 528-9311, or through Keane, Maryellen via phone (732) 528-9311.

Contact Information

Primary practice address
2500 Ridgewood Rd Wall Township NJ 07719-9600
Phone: (732) 528-9311
Fax: (732) 528-9026
Website:
Map and Directions
Authorized official contact:
Name: Keane, Maryellen LNHA
Phone: (732) 528-9311

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 061329 New Jersey

Profile Details

NPI number 1417093501
LBN Legal business name Sunnyside Manor Inc
DBA Doing business as Sunnyside Manor
Authorized official Keane, Maryellen LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 21st, 2022 - about 2 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 1417093501 NPPES
New Jersey Other 9652 EMPIRE PROVIDER NUMBER
New Jersey MEDICAID 7902506 EMPIRE PROVIDER NUMBER

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