Active NPI
Sunshine Adult Center Corp
- Assisted Living Facility (Mental Illness)
- Hialeah, FL
National Provider Identifier
1104099068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- AL5971
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6762999 | Medicaid | FL | |
| 1410075 | Medicaid | FL | |
| 141008300 | Medicaid | FL |
Other names 1
- SUNSHINE ADULT CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Sunshine Adult Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- Hialeah, FL
- NPI 1811357486
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
- Sunrise Pharmacy & Discount
- Sunset Health Systems LLC
- Sunset Retirement Home, Inc
- Sunset Voices Relief Inc
- Sunset Yr2 LLC
- Sunshine Adult Center Corp.
- Sunshine Care Community Services Inc
- Sunshine Chiropractic Life Centre Silverlakes
- Sunshine Chiropractic Life Centre West PA
- Sunshine Elderly Residence Corp.
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.