NPIMap

Organization Active NPI

Sunland Center Marianna

  • Intellectual Disabilities Intermediate Care Facility
  • Marianna, FL
National Provider Identifier
1134296924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
4079096 Issued in FL
Legal business name
SUNLAND CENTER MARIANNA
Practice address
3700 Williams Dr
Marianna, FL 32446-7973
Phone
(850) 482-9225
Fax
(850) 718-0434
NPI assigned
Nov 29, 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
Mrs. Pat H Masterson
Title
Fiscal Assistant II
Phone
(850) 482-9225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 4079096 FL Primary

Addresses

Primary practice location

3700 Williams Dr
Marianna, FL 32446-7973

Mailing address

3700 Williams Dr
Marianna, FL 32446-7973
Phone (850) 482-9225

National Provider Directory

National Provider Directory
Tax ID family
Sunland Center Marianna15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134296924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILLIAMS DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324467973",
            "telephone_number": "850-482-9225",
            "fax_number": "850-718-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILLIAMS DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324467973",
            "telephone_number": "850-482-9225",
            "fax_number": "850-718-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLAND CENTER MARIANNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FISCAL ASSISTANT II",
        "authorized_official_telephone_number": "850-482-9225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "FL",
            "license": "4079096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

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.