Sunny Rose Glen LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNNY ROSE GLEN LLC

Practice address

29620 Bradley Rd
Menifee, CA 92586-6521

Phone

(951) 679-3355

Fax

(951) 723-8051

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Mike Adam

Title

President

Phone

(714) 381-5087

Specialties & licenses 1

Addresses

Other names 1

• Sunny Rose Glen Doing business as

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1033681572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29620 BRADLEY RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866521",
            "telephone_number": "951-679-3355",
            "fax_number": "951-723-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29620 BRADLEY RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866521",
            "telephone_number": "951-679-3355",
            "fax_number": "951-723-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY ROSE GLEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-381-5087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Rose Glen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeron Devon Straker
• Claudia Suchil, PT, DPT
• Cristal Ann Sumerlin, PA-C
• Lorlei Sanson Summitt, LVN
• Sun City Optometry a Professional Corporation
• Sunset Board and Care Inc
• Makenna Maria Sweatt
• Swenn Global Management Corporation
• Selena Tadeo
• Jessica Michael Tadros, O.D.

• Assisted Living Facility in Menifee, CA
• Providers in Menifee, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.