Organization Active NPI

Sunshine Adult Center Corp

  • Assisted Living Facility (Mental Illness)
  • Hialeah, FL
National Provider Identifier
1104099068
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
AL5971 Issued in FL
Legal business name
SUNSHINE ADULT CENTER CORP
Practice address
170 W 13TH St
Hialeah, FL 33010-3917
Phone
(305) 885-2358
Fax
(305) 888-7487
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mr. Mariluz Paulin, PRESIDENT
Title
Administrator
Phone
(305) 885-2358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL5971 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X AL5626 FL

Addresses

Primary practice location

170 W 13TH St
Hialeah, FL 33010-3917

Mailing address

170 W 13TH St
Hialeah, FL 33010-3917
Phone (305) 885-2358

Other identifiers 3

IdentifierTypeStateIssuer
6762999MedicaidFL
1410075MedicaidFL
141008300MedicaidFL

Other names 1

  • SUNSHINE ADULT CENTER Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Adult Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

170 W 13th St
Hialeah, FL 33010
Phone (305) 885-2358

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1104099068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W 13TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103917",
            "telephone_number": "305-885-2358",
            "fax_number": "305-888-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 13TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103917",
            "telephone_number": "305-885-2358",
            "fax_number": "305-888-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ADULT CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "PAULIN",
        "authorized_official_first_name": "MARILUZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-885-2358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL5971",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL5626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6762999",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1410075",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141008300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE ADULT CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.