Entity Details

Sunnybrook Home Care, INC ( HHA )

Basic

Entity Type:
Home Health Agencies (HHA)

Former Entity Name:
Sunnybrook Home Care, Inc.

Medicaid #:

CCN #:
167290

Occupancy Type:
Beds

Max Occupancy:
0

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:
32

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
400 Highland Street, Suite 102

City:
Fairfield

State:
Iowa

Zip:
52556

Phone:
(641) 472-4808

Fax:
(641) 472-3339

URL:

Administrator/License #:
Stacey Harryman / 132101

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found