Provider Demographics
NPI:1982695417
Name:SUNSET HOME, INC.
Entity Type:Organization
Organization Name:SUNSET HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLOCHLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-243-2720
Mailing Address - Street 1:620 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:CONCORDIA
Mailing Address - State:KS
Mailing Address - Zip Code:66901-2727
Mailing Address - Country:US
Mailing Address - Phone:785-243-2720
Mailing Address - Fax:785-243-1576
Practice Address - Street 1:620 2ND AVE
Practice Address - Street 2:
Practice Address - City:CONCORDIA
Practice Address - State:KS
Practice Address - Zip Code:66901-2727
Practice Address - Country:US
Practice Address - Phone:785-243-2720
Practice Address - Fax:785-243-1576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN-015006314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS175422Medicare Oscar/Certification