Provider Demographics
NPI:1235550492
Name:SUNSET MANOR INC
Entity Type:Organization
Organization Name:SUNSET MANOR INC
Other - Org Name:SUNSET RETIREMENT COMMUNITES & SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZUIDERVEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-457-2770
Mailing Address - Street 1:725 BALDWIN ST
Mailing Address - Street 2:
Mailing Address - City:JENISON
Mailing Address - State:MI
Mailing Address - Zip Code:49428-7945
Mailing Address - Country:US
Mailing Address - Phone:616-457-2770
Mailing Address - Fax:616-457-7899
Practice Address - Street 1:725 BALDWIN ST
Practice Address - Street 2:
Practice Address - City:JENISON
Practice Address - State:MI
Practice Address - Zip Code:49428-7945
Practice Address - Country:US
Practice Address - Phone:616-457-2770
Practice Address - Fax:616-457-7899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAH700236908310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility