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General NPI Number Information
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NPI Number | 1639266851
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Entity Type | Organization
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Legal Business Name | SUNRISE MANOR & CONVALESCENT CENTER INC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3434 STATE ROUTE 132
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City | AMELIA
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State | OH
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Zip | 45102-2012
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Country | US
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Telephone | 513-797-5144
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Fax | 513-797-4627
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Provider Business Mailing Address
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Address Line | PO BOX 54923
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City | CINCINNATI
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State | OH
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Zip | 45254-0923
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Country | US
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Telephone | 513-797-5144
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Fax | 513-797-4627
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Authorized Official
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Title or Position | BOARD OF DIRECTOR
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Name | PATRICIA A MEEKER
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Credential | LNHA
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Telephone | 513-797-5144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1221N
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 1221N
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License Number State | OH
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