Fullerton SH LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FULLERTON SH LLC

Practice address

1925 Sunny Crest Dr
Fullerton, CA 92835-3628

Phone

(714) 992-1999

Fax

(714) 992-4186

NPI assigned

Sep 22, 2026

Organization subpart

No

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

Authorized official

Name

Kyle Hibbler

Title

VP of Business

Phone

(503) 391-9999

Specialties & licenses 1

Addresses

Other names 1

• Sunnycrest Senior Living Other name

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1164334256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 SUNNY CREST DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353628",
            "telephone_number": "714-992-1999",
            "fax_number": "714-992-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 SUNNY CREST DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353628",
            "telephone_number": "714-992-1999",
            "fax_number": "714-992-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON SH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "HIBBLER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "VP OF BUSINESS",
        "authorized_official_telephone_number": "503-391-9999"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnycrest Senior Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Fullerton Rosewood Assisted Living, Inc.
• Fullerton School District
• Fullerton Surgical Center, LP (Fullerton Surgical Center)
• Caroline Fung
• William Funke
• Katherina Alexis Furlow, DDS
• Cynthia Furman, PHARM.D.

• Assisted Living Facility in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.