Sunny Ridge Retirement and Alf

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL# 11175 Issued in FL

Legal business name

SUNNY RIDGE RETIREMENT AND ALF

Practice address

1713 W Euclid Ave
Deland, FL 32720-2930

Phone

(386) 490-4940

NPI assigned

Apr 11, 2013

Organization subpart

No

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

Authorized official

Name

Marilou R Ocampo

Title

Asst.Administrator

Phone

(386) 490-4940

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1073956827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W EUCLID AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202930",
            "telephone_number": "386-490-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W EUCLID AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202930",
            "telephone_number": "386-490-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY RIDGE RETIREMENT AND ALF",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASST.ADMINISTRATOR",
        "authorized_official_telephone_number": "386-490-4940"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL# 11175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesna Susan Mathew Sublett, MBBS
• David Sukhai
• Susan Simpson Sullenberger, O.D.
• Taylor Anne Sullivan, M.S., ATC
• Lisa Dianne Summers, LMFT
• Sunrise Pediatric Care Center LLC
• Sunshine Therapy & Health Center, LLC
• Sunshyne Counseling, PLLC
• Sunspire Health Florida, LLC (WhiteSands Alcohol & Drug Rehab Deland)
• Surgery Funding Group

• Assisted Living Facility in Deland, FL
• Providers in Deland, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.