Provider Demographics
NPI:1487659926
Name:SUNNY ACRES NURSING HOME, INC.
Entity Type:Organization
Organization Name:SUNNY ACRES NURSING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:FREITAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MS
Authorized Official - Phone:978-256-0231
Mailing Address - Street 1:254 BILLERICA RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4114
Mailing Address - Country:US
Mailing Address - Phone:978-256-0231
Mailing Address - Fax:978-250-5858
Practice Address - Street 1:254 BILLERICA RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-4114
Practice Address - Country:US
Practice Address - Phone:978-256-0231
Practice Address - Fax:978-250-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0170314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS00085194OtherTUFTS SECURE HORIZONS
MA0998443Medicaid
MA2222549401OtherBLUE CROSS/BLUE SHIELD
7100153OtherEVERCARE
MA903271OtherHARVARD PILGRIM HEALTH
MA2222549401OtherBLUE CROSS/BLUE SHIELD