Provider Demographics
NPI:1497900088
Name:SUNSET RETIREMENT COMMUNITIES, INC
Entity Type:Organization
Organization Name:SUNSET RETIREMENT COMMUNITIES, INC
Other - Org Name:ASHANTI HOSPICE AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P. OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:419-724-1200
Mailing Address - Street 1:4020 INDIAN RD STE A
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:419-724-1200
Mailing Address - Fax:419-724-1201
Practice Address - Street 1:4020 INDIAN RD STE A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2265
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 COMMUNITES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-24
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPENDING251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3068577Medicaid
OH361651Medicare Oscar/Certification