Sunshine Meadows Assisted Living Facility, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9060 Issued in FL

Legal business name

SUNSHINE MEADOWS ASSISTED LIVING FACILITY, INC.

Practice address

1809 18TH St
Sarasota, FL 34234-7586

Phone

(941) 906-9217

Fax

(941) 906-8814

NPI assigned

Nov 26, 2012

Last updated

Nov 26, 2012By 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. Vicke Mack

Title

Executive Director

Phone

(941) 906-9217

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1114261518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 18TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347586",
            "telephone_number": "941-906-9217",
            "fax_number": "941-906-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 18TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347586",
            "telephone_number": "941-906-9217",
            "fax_number": "941-906-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEADOWS ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "VICKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "941-906-9217",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140833000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "675814200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Medical and Rehab LLC (Dr. Moscow & Associates)
• Sunset Sports Medicine LLC
• Sunset Vision Inc. (Eyeglass Maxx)
• Sunshine Family Dental PLLC (Tranquil Dental)
• Sunshine Internal Medicine PL
• Sunshine Medical Center LLC
• Sunshine Medical Network
• Sunshine Spine and Pain Specialists PLLC
• Pete Supan, DO
• Superior Eyes Optical, Inc (Only Eyes Optical & Boutique)

• Assisted Living Facility in Sarasota, FL
• Providers in Sarasota, 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 Nov 26, 2012; 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.