Sunnycrest Manor – Nursing Facility/Intermediate Care Facility, NPI 1215934955

Sunnycrest Manor is a healthcare provider. based in Dubuque, Iowa. specializing in Nursing Facility/Intermediate Care Facility. The organization holds a License No. 310304 (IA). The NPI Number for Sunnycrest Manor is 1215934955

Main info

Organization
Name
Sunnycrest Manor
NPI
1215934955
Phone
(563) 583-1781
Address
2375 ROOSEVELT ST
Authorized Official
MS. CATHRYN M. HEDLEY ADMINISTRATOR NURSING HOME ADMINIS
Enumeration Date
7 July 2005
Last Update Date
1 November 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness80
Years active:20State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for Sunnycrest Manor

  • Sunnycrest Manor, 2375, Roosevelt Street, Eagle Point, Dubuque, Dubuque County, Iowa, 52001, United States

    DUBUQUE, IA 520011479

    Phone: (563) 583-1781

    Fax: (563) 583-1705

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040625000864OSkilled Nursing FacilityIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52001)

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Reviews

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Frequently asked questions

Does Sunnycrest Manor share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Sunnycrest Manor uses 1215934955.
Does the file indicate Sunnycrest Manor is practicing under active NPI?
Directory data currently reports Sunnycrest Manor as active.
What is Sunnycrest Manor best known for clinically?
Directory data describes Sunnycrest Manor with Nursing Facility/Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
What area does Sunnycrest Manor serve?
Sunnycrest Manor's listing highlights Dubuque, Iowa; more addresses can appear in NPPES.
Why does Sunnycrest Manor have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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