Provider Demographics
NPI:1942276571
Name:SUNNY VIEW NURSING HOME, INC
Entity Type:Organization
Organization Name:SUNNY VIEW NURSING HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:401-737-9193
Mailing Address - Street 1:83 CORONA ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1724
Mailing Address - Country:US
Mailing Address - Phone:401-737-9193
Mailing Address - Fax:401-737-9196
Practice Address - Street 1:83 CORONA ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1724
Practice Address - Country:US
Practice Address - Phone:401-737-9193
Practice Address - Fax:401-737-9196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI4105023Medicaid
RI4105023Medicaid