COUNTY OF DUBUQUE NPI 1215934955

NPI Information

  • NPI: 1215934955
  • Provider Name: COUNTY OF DUBUQUE
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Doing Business As: SUNNYCREST MANOR
  • CLIA Number: 16D0903383
  • Address: 2375 ROOSEVELT ST
    DUBUQUE, IA
    ZIP 52001
  • Phone: (563) 583-1781

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NPI Details

COUNTY OF DUBUQUE is a nursing facility intermediate care facility in Dubuque, IA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. COUNTY OF DUBUQUE NPI is 1215934955. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunnycrest Manor.

The provider's business location address is:

2375 ROOSEVELT ST
DUBUQUE, IA
ZIP 52001-479
Phone: (563) 583-1781
Fax: (563) 583-1705

The provider's authorized official is Cathryn M. Hedley .
The authorized official title is Administrator and has the following contact phone number (563) 583-1781.

The CLIA number assigned to this NPI record is 16D0903383 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 11/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility310304IOWANo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesIMR-304IOWANo
3311Z00000XCustodial Care Facility310304IOWANo
4313M00000XNursing Facility/Intermediate Care Facility310304IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10803866MEDICAIDIOWA
2165556MEDICARE OSCAR/CERTIFICATIONIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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