Organization Active NPI

Sunshine Board & Care LLC

  • Adult Care Home Facility
  • Rialto, CA
National Provider Identifier
1073085288
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SUNSHINE BOARD & CARE LLC
Practice address
720 N Linden Ave
Rialto, CA 92376-4635
Phone
(786) 219-6008
NPI assigned
Dec 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Najeh Hamed
Title
Owner
Phone
(786) 219-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

720 N Linden Ave
Rialto, CA 92376-4635

Mailing address

720 N Linden Ave
Rialto, CA 92376-4635
Phone (786) 219-6008

Other identifiers 1

IdentifierTypeStateIssuer
361880681OtherCACDSS LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Najeh Hamed5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1073085288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LINDEN AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764635",
            "telephone_number": "786-219-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N LINDEN AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764635",
            "telephone_number": "786-219-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE BOARD & CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2022-04-07",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "NAJEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-219-6008"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDSS LICENSE",
            "identifier": "361880681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.