Organization Active NPI

Sunrise for a Happy Life Adc

  • Adult Day Care Clinic/Center
  • Lakeland, FL
National Provider Identifier
1073282117
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SUNRISE FOR A HAPPY LIFE ADC
Practice address
833 N Lake Parker Ave
Lakeland, FL 33801-2044
Phone
(863) 614-6136
Fax
(863) 337-6638
NPI assigned
Sep 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Authorized official

Name
Martha I Ponguta
Title
Administrator
Phone
(863) 272-3852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

833 N Lake Parker Ave
Lakeland, FL 33801-2044

Mailing address

410 W Hancock St
Lakeland, FL 33803-1418
Phone (863) 272-3852

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sunrisehappyservice@gmail.com

National Provider Directory

National Provider Directory

Locations

833 N Lake Parker Ave
Lakeland, FL 33801
Phone (863) 614-6136

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1073282117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W HANCOCK ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031418",
            "telephone_number": "863-272-3852",
            "fax_number": "863-337-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N LAKE PARKER AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012044",
            "telephone_number": "863-614-6136",
            "fax_number": "863-337-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FOR A HAPPY LIFE ADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "PONGUTA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-272-3852"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sunrisehappyservice@gmail.com",
            "affiliation": "N",
            "address_1": "833 N Lake Parker Ave",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338012044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.