Organization Active NPI

Sunny Glen Children's Home Inc.

  • Community/Behavioral Health Agency
  • San Benito, TX
National Provider Identifier
1073897633
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNNY GLEN CHILDREN'S HOME INC.
Practice address
2385 W Expressway 83
San Benito, TX 78586-7769
Phone
(956) 399-5356
Fax
(956) 399-3634
NPI assigned
Sep 30, 2011
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Mr. Shay Eric Williams, M.ED., LPC-S, LCCA
Title
Director of Social Services
Phone
(956) 399-5356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X TX Primary

Addresses

Primary practice location

2385 W Expressway 83
San Benito, TX 78586-7769

Mailing address

2385 W Expressway 83
San Benito, TX 78586-7831
Phone (956) 399-5356

National Provider Directory

National Provider Directory

Locations

2385 W Expressway 83
San Benito, TX 78586
Phone (956) 399-5356

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": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1073897633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 W EXPRESSWAY 83",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785867831",
            "telephone_number": "956-399-5356",
            "fax_number": "956-399-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 W EXPRESSWAY 83",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785867769",
            "telephone_number": "956-399-5356",
            "fax_number": "956-399-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY GLEN CHILDREN'S HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAY",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF SOCIAL SERVICES",
        "authorized_official_telephone_number": "956-399-5356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., LPC-S, LCCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Benito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.