Provider Demographics
NPI:1760802995
Name:SUNNYVIEW OPERATING LLC
Entity Type:Organization
Organization Name:SUNNYVIEW OPERATING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-297-6490
Mailing Address - Street 1:107 SUNNYVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-3547
Mailing Address - Country:US
Mailing Address - Phone:724-282-1800
Mailing Address - Fax:
Practice Address - Street 1:107 SUNNYVIEW CIR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-3547
Practice Address - Country:US
Practice Address - Phone:724-282-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA970102314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility