# MANOR CARE OF SUNNYVALE CA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ProMedica Skilled Nursing and Rehabilitation (Sunnyvale)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679511331
- **Authorized official:** MR. MARTIN D ALLEN (DIRECTOR)
- **Authorized official phone:** (419) 252-5734

## Contact information

- **Practice address:** 1150 TILTON DR, SUNNYVALE, CA 94087-2440
- **Practice address phone:** (408) 735-7200
- **Practice address fax:** (408) 736-8619
- **Mailing address:** 333 N SUMMIT ST, TOLEDO, OH 43604-2615
- **Mailing address phone:** (419) 252-5500
- **Mailing address fax:** (877) 385-9446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220000442 | CA | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 02/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1679511331 | — | CA |