Provider Demographics
NPI:1417470873
Name:SUNNY ACRES HEALTHCARE LLC
Entity Type:Organization
Organization Name:SUNNY ACRES HEALTHCARE LLC
Other - Org Name:THE VILLAS AT SUNNY ACRES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SOON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-540-1249
Mailing Address - Street 1:27101 PUERTA REAL STE 450
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8566
Mailing Address - Country:US
Mailing Address - Phone:949-487-9500
Mailing Address - Fax:949-540-1966
Practice Address - Street 1:2515 E 104TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-6137
Practice Address - Country:US
Practice Address - Phone:720-977-1707
Practice Address - Fax:720-977-1768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23U240310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility