NPIMap

Organization Active NPI

Sunshine State Treatment Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Park, FL
National Provider Identifier
1063967032
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
5001 Issued in FL
Legal business name
SUNSHINE STATE TREATMENT CENTER, LLC
Practice address
900 N Federal Hwy Ste 104
Lake Park, FL 33403-2856
Phone
(561) 876-5100
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sigrid Ezsa Allen, MS,RIMHCNPI 1184127391
Title
Owner
Phone
(561) 876-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 5001 FL Primary

Addresses

Primary practice location

900 N Federal Hwy Ste 104
Lake Park, FL 33403-2856

Mailing address

900 N Federal Hwy Ste 104
Lake Park, FL 33403-2856
Phone (561) 876-5100

National Provider Directory

National Provider Directory
Tax ID family
Sunshine State Treatment Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063967032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 104",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032856",
            "telephone_number": "561-876-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N FEDERAL HWY STE 104",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032856",
            "telephone_number": "561-876-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_middle_name": "EZSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-876-5100",
        "authorized_official_credential": "MS,RIMHC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

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