Provider Demographics
NPI:1063505006
Name:COUNTY OF WILL
Entity Type:Organization
Organization Name:COUNTY OF WILL
Other - Org Name:SUNNY HILL NURSING HOME OF WILL COUNTY
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SORBERO
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:815-727-8650
Mailing Address - Street 1:421 DORIS AVE
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60433-2569
Mailing Address - Country:US
Mailing Address - Phone:815-727-8710
Mailing Address - Fax:815-727-8637
Practice Address - Street 1:421 DORIS AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60433-2569
Practice Address - Country:US
Practice Address - Phone:815-727-8710
Practice Address - Fax:815-727-8637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0014076314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========003Medicaid
IL145892Medicare Oscar/Certification