Provider Demographics
NPI:1730176850
Name:SUNNY VEE NURSING HOME, INC.
Entity type:Organization
Organization Name:SUNNY VEE NURSING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:740-363-1587
Mailing Address - Street 1:54 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1614
Mailing Address - Country:US
Mailing Address - Phone:740-363-1587
Mailing Address - Fax:
Practice Address - Street 1:54 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1614
Practice Address - Country:US
Practice Address - Phone:740-363-1587
Practice Address - Fax:740-524-0378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2678314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0072255Medicaid
OH0072255Medicaid