Son Shine Home Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

14308791 Issued in MO

Legal business name

SON SHINE HOME INC

Practice address

2056 Hwy Aa
Poplar Bluff, MO 63901-3789

Phone

(573) 785-0482

Fax

(573) 776-7278

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Leota Faye Dicken

Title

Administrator Pres of Corp Owner

Phone

(573) 785-0482

Specialties & licenses 1

Addresses

Tax ID family

Son Shine Home Inc2 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.

• Sonshine Home Inc

  • Respite Care
  • Poplar Bluff, MO
  • NPI 1730203563
  NPD tax ID

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114064508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 HWY AA",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013789",
            "telephone_number": "573-785-0482",
            "fax_number": "573-776-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 HWY AA",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013789",
            "telephone_number": "573-785-0482",
            "fax_number": "573-776-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON SHINE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKEN",
        "authorized_official_first_name": "LEOTA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "ADMINISTRATOR PRES OF CORP OWNER",
        "authorized_official_telephone_number": "573-785-0482",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "14308791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Dee Smothers, LMSW
• Jackson Delaney Smothers
• Alexandra Grace Maire Snyder
• Solid Rock Christian Counseling, Inc
• Solid Rock Christian Counseling, Inc
• Sonshine Home Inc
• Jennifer Ilene Sopko
• Pamella Joanne Soto
• Sound Imaging Inc LLC
• Southeast Health Center of Stoddard County, LLC (Mercy Hospital Stoddard)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.