Sun Kyss Glo LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SUN KYSS GLO LLC

Practice address

27 Choctaw Center
Cherokee Village, AR 72529-2702

Phone

(954) 873-4433

NPI assigned

Apr 9, 2021

Last updated

May 14, 2021By 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

Mrs. Shara S Vincent

Title

Owner

Phone

(954) 873-4433

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1083294524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CHOCTAW CENTER",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725292702",
            "telephone_number": "954-873-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CHOCTAW CENTER",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725292702",
            "telephone_number": "954-873-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN KYSS GLO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-05-14",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "SHARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-873-4433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Smith, LPN, MHPP
• Spring River Paramedic Ambulance Service Inc
• Christine Studebaker, PTA
• Robin Stuntz-Christian, LAC
• Sun Kyss Glo
• Miranda Swiatkowski, MHPP
• Brandon Taylor, MHPP
• Tommy G Taylor, M.D.
• Therapy Works, Inc.
• Janet Sue Torbit, APN

• Health Service Clinic/Center in Cherokee Village, AR
• Providers in Cherokee Village, AR by specialty
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.