Provider Demographics
NPI:1245794726
Name:SUNSET RETIREMENT COMMUNITIES, INC
Entity Type:Organization
Organization Name:SUNSET RETIREMENT COMMUNITIES, INC
Other - Org Name:SUNSET VILLAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:CHERYL
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-933-5401
Mailing Address - Street 1:4040 INDIAN ROAD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2265
Mailing Address - Country:US
Mailing Address - Phone:419-724-1225
Mailing Address - Fax:419-724-1226
Practice Address - Street 1:9640 SYLVANIA METAMORA RD
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9485
Practice Address - Country:US
Practice Address - Phone:419-724-1200
Practice Address - Fax:419-724-1201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNSET RETIREMENT COMMUNITIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-29
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2808313Medicaid