Sundance Services Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

01515 Issued in MD

Legal business name

SUNDANCE SERVICES CORP

Practice address

912 Schooner Cir
Annapolis, MD 21401-6846

Phone

(410) 266-6290

NPI assigned

Nov 20, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Winchester, M.A., SLP

Title

Vice President

Phone

(941) 232-3288

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1073857637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SCHOONER CIR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016846",
            "telephone_number": "410-266-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SCHOONER CIR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016846",
            "telephone_number": "410-266-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "WINCHESTER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "941-232-3288",
        "authorized_official_credential": "M.A., SLP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "01515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "01-0001112",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "01515",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "2202006276",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "SLP000033",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Kathleen Sullivan, M.ED.
• Suzanne E. Sullivan, MD
• Gwendolyn Renee Summers, M.ED., LGPC, NCC
• Leanne Summers, M.D.
• Summit Ambulatory Surgical Center, LLC (Annapolis ASC)
• Sunray ABA MD LLC (Sunray ABA)
• Sunrise Day Services LLC
• Allison Marie Suqi, APRN
• Edward Anatol Surak, OTR
• Surgery Center of Annapolis, LLC (Surgery Center of Annapolis)

• Skilled Nursing Facility in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.