SUNNYSIDE HEALTHCARE CENTER
NPI 1356181507
Skilled Nursing Facility in Sunnyside, WA

Active since May 27, 2024CLIA 50D0638642 · Waiver
721 OTIS AVE, SUNNYSIDE, WA 98944(509) 837-2122 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunnyside Healthcare Center NPPES

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

SUNNYSIDE HEALTHCARE CENTER (NPI 1356181507) is a healthcare organization registered as a skilled nursing facility in Sunnyside, Washington and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists John Mitchell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1356181507
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSUNNYSIDE SNF HEALTHCARE LLC
Location Address721 OTIS AVESunnyside, WA 98944-2328
Mailing Address262 N University AveFarmington, UT 84025-2975
Organization SubpartNo
Authorized OfficialJohn MitchellSecretary · (801) 447-9829
Enumeration DateMay 27, 2024
Last NPPES UpdateDecember 24, 2024
NPPES CertifiedDecember 24, 2024
NPI 1356181507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
721 OTIS AVE, Sunnyside, WA 98944

Other Names 1

Doing Business AsSunnyside Healthcare Center

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 50D0638642

Sunnyside Healthcare Center · Sunnyside, WA
Active · expires Apr 4, 2028
CLIA Number50D0638642
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 29, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStan Flemming
Laboratory Phone(509) 837-2122
Laboratory LocationSunnyside Healthcare Center721 Otis Ave, Sunnyside, WA 98944
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 6

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

Occupational Therapy Assistant
721 OTIS AVE
SUNNYSIDE, WA 98944
Speech-Language Pathologist
721 OTIS AVE
SUNNYSIDE, WA 98944
Physical Medicine & Rehabilitation
721 OTIS AVE
SUNNYSIDE, WA 98944
Skilled Nursing Facility
721 OTIS AVE
SUNNYSIDE, WA 98944
Occupational Therapy Assistant
721 OTIS AVE
SUNNYSIDE, WA 98944
Skilled Nursing Facility
721 OTIS AVE
SUNNYSIDE, WA 98944

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 Sunnyside Snf Healthcare LLC's NPI number?

The NPI number for Sunnyside Snf Healthcare LLC is 1356181507. It was assigned to this organization in the NPPES registry on May 27, 2024. The provider is doing business as Sunnyside Healthcare Center.

Where is Sunnyside Snf Healthcare LLC located?

Sunnyside Snf Healthcare LLC is located at 721 Otis Ave, Sunnyside, WA 98944. The listed phone number is (509) 837-2122.

What is Sunnyside Snf Healthcare LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sunnyside Snf Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0638642) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunnyside Snf Healthcare LLC was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.