SUNSET PARK PLACE CO
NPI 1114137601
Assisted Living Facility in Dubuque, IA

Active since May 23, 2007CLIA 16D1064977 · Waiver
3730 PENNSYLVANIA AVE, DUBUQUE, IA 52002(563) 583-7939(563) 583-2982 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunset Park Place Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNSET PARK PLACE CO (NPI 1114137601) is a healthcare organization registered as an assisted living facility in Dubuque, Iowa and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Jerry Bell, Manager, as its authorized official.

NPPES Registry Identity

NPI1114137601
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUNSET PARK PLACE CO
Location Address3730 PENNSYLVANIA AVEDubuque, IA 52002-3701
Mailing Address3730 Pennsylvania AveDubuque, IA 52002-3701 · (563) 583-7939 · Fax (563) 583-2982
Fax(563) 583-2982
Organization SubpartNo
Authorized OfficialJerry BellManager · (563) 583-7939
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1114137601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in IA · S0127
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3730 PENNSYLVANIA AVE, Dubuque, IA 52002

Other Identifiers 1

Medicaid0478701IA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1064977

Sunset Park Place Company LLC · Dubuque, IA
Active · expires Feb 18, 2027
CLIA Number16D1064977
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorChristian Jordan
Laboratory Phone(563) 583-7939
Laboratory LocationSunset Park Place Company LLC3730 Pennsylvania Avenue, Dubuque, IA 52002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
3730 PENNSYLVANIA AVE
DUBUQUE, IA 52002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunset Park Place Co's NPI number?

The NPI number for Sunset Park Place Co is 1114137601. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Sunset Park Place Co located?

Sunset Park Place Co is located at 3730 Pennsylvania Ave, Dubuque, IA 52002. The listed phone number is (563) 583-7939.

What is Sunset Park Place Co's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Sunset Park Place Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1064977) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunset Park Place Co was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.