Organization Active NPI

Sunshine Country Assisted Living Facility, Inc.

  • Assisted Living Facility (Mental Illness)
  • Caryville, FL
National Provider Identifier
1053675421
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL12205 Issued in FL
Legal business name
SUNSHINE COUNTRY ASSISTED LIVING FACILITY, INC.
Practice address
2563 River Rd
Caryville, FL 32427-2013
Phone
(850) 535-4958
NPI assigned
Jun 29, 2012
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Steve Allen Hall
Title
Administrator
Phone
(850) 535-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL12205 FL Primary

Addresses

Primary practice location

2563 River Rd
Caryville, FL 32427-2013

Mailing address

2563 River Rd
Caryville, FL 32427-2013
Phone (850) 535-4958

National Provider Directory

National Provider Directory

Locations

2563 River Rd
Caryville, FL 32427
Phone (850) 535-4267

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1053675421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 RIVER RD",
            "city": "CARYVILLE",
            "state": "FL",
            "postal_code": "324272013",
            "telephone_number": "850-535-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 RIVER RD",
            "city": "CARYVILLE",
            "state": "FL",
            "postal_code": "324272013",
            "telephone_number": "850-535-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE COUNTRY ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-535-2876"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL12205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caryville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.