Organization Active NPI

Sueshane, LLC

  • Developmentally Disabled Services Day Training Agency
  • Plantation, FL
National Provider Identifier
1013662329
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SUESHANE, LLC
Practice address
855 NW 45TH Ter
Plantation, FL 33317-1504
Phone
(754) 366-9014
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Sue Smith
Title
Ceo
Phone
(754) 366-9014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

855 NW 45TH Ter
Plantation, FL 33317-1504

Mailing address

855 NW 45TH Ter
Plantation, FL 33317-1504

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1013662329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 NW 45TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 NW 45TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171504",
            "telephone_number": "754-366-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUESHANE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-366-9014"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.