Sun and Sea Assisted Living, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

SUN AND SEA ASSISTED LIVING, LLC

Practice address

740 7TH St
Imperial Beach, CA 91932-2106

Phone

(760) 212-4716

Fax

(858) 756-2885

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Anne Owens-Stone

Title

Owner

Phone

(858) 775-1215

Specialties & licenses 1

Addresses

Other names 1

• Sun and Sea Manor Other name

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1063177350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 7TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322106",
            "telephone_number": "760-212-4716",
            "fax_number": "858-756-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 7TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322106",
            "telephone_number": "760-212-4716",
            "fax_number": "858-756-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN AND SEA ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "OWENS-STONE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-775-1215"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun and Sea Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• PACE Provider Organization in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.