Sunshine Assisted Living Home Care Facility

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

SUNSHINE ASSISTED LIVING HOME CARE FACILITY

Practice address

1422 SE 23 Terrace
Cape Coral, FL 33990

Phone

(239) 347-7987

Fax

(239) 347-7987

NPI assigned

Aug 1, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keiler Pelegrin

Title

Owner

Phone

(615) 509-7740

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1013495175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 SE 23 TERRACE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-347-7987",
            "fax_number": "239-347-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 SE 23 TERRACE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33990",
            "telephone_number": "239-347-7987",
            "fax_number": "239-347-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ASSISTED LIVING HOME CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "PELEGRIN",
        "authorized_official_first_name": "KEILER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-509-7740"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preeth Kada Sundaran
• Sunrise Community, Inc.
• Sunrise Community, Inc.
• Sunset Harbor Dental
• Sunset Home Health Services Inc.
• Sunshine Behavior Academy Inc
• Sunshine Community Homes, LLC
• Sunshine Family Doctor LLC
• Sunshine Love Alf, Inc
• Patrin Suppatkul Kongkaeow, M.D.

• Assisted Living Facility (Behavioral Disturbances) in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Assisted Living Facility (Behavioral Disturbances) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.