NPIMap

Organization Active NPI

Sunshine Homes Inc

Doing business as Park Place RCF PMI

  • Mental Illness Community Based Residential Treatment Facility
  • Atlantic, IA
National Provider Identifier
1154526713
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
RPMI 655 Issued in IA
Legal business name
SUNSHINE HOMES INC
Doing business as
Park Place RCF PMI
Practice address
1307 Sunnyside LN
Atlantic, IA 50022-2205
Phone
(712) 243-1213
Fax
(712) 243-1213
NPI assigned
Jun 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Charles A Smith
Title
Administrator
Phone
(712) 243-1213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X RPMI 655 IA Primary

Addresses

Primary practice location

1307 Sunnyside LN
Atlantic, IA 50022-2205

Mailing address

1307 Sunnyside LN
Atlantic, IA 50022-2205
Phone (712) 243-1213

Other identifiers 1

IdentifierTypeStateIssuer
07633748MedicaidIA

Other names 1

  • Park Place RCF PMI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Park Place RCF Pmi5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154526713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SUNNYSIDE LN",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500222205",
            "telephone_number": "712-243-1213",
            "fax_number": "712-243-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 SUNNYSIDE LN",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500222205",
            "telephone_number": "712-243-1213",
            "fax_number": "712-243-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-243-1213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IA",
            "license": "RPMI 655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07633748",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place RCF PMI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantic, IA

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.