Organization Active NPI

Sunshine Adult Day Care

  • Adult Day Care Clinic/Center
  • Union, SC
National Provider Identifier
1124079751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC-251 Issued in SC
Legal business name
SUNSHINE ADULT DAY CARE
Practice address
506B S Duncan Byp
Union, SC 29379-7219
Phone
(864) 429-0505
Fax
(864) 429-8578
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sherri Bates Puckett
Title
Director
Phone
(864) 429-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC-251 SC Primary

Addresses

Primary practice location

506B S Duncan Byp
Union, SC 29379-7219

Mailing address

506B S Duncan Byp
Union, SC 29379-7219
Phone (864) 429-0505

Other identifiers 1

IdentifierTypeStateIssuer
EX06429999MedicaidSC

National Provider Directory

National Provider Directory

Locations

506B S Duncan Byp
Union, SC 29379
Phone (864) 429-0505

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124079751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506B S DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797219",
            "telephone_number": "864-429-0505",
            "fax_number": "864-429-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506B S DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797219",
            "telephone_number": "864-429-0505",
            "fax_number": "864-429-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "BATES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-429-0505"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC-251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX06429999",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

  • 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.