Sunshine Haven Nursing Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1062 Issued in NM

Legal business name

SUNSHINE HAVEN NURSING OPERATIONS, LLC

Doing business as

Sunshine Haven at Lordsburg

Practice address

603 Hadeco Dr
Lordsburg, NM 88045-1834

Phone

(505) 542-3539

Fax

(505) 542-8131

NPI assigned

Jul 16, 2007

Last updated

Dec 16, 2010By 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

Charles Harrington

Title

President

Phone

(817) 335-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunshine Haven at Lordsburg Doing business as

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1194924480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 7TH ST",
            "address_2": "STE 415",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024900",
            "telephone_number": "817-335-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HADECO DR",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880451834",
            "telephone_number": "505-542-3539",
            "fax_number": "505-542-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HAVEN NURSING OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-335-4111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58987738",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Haven at Lordsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristene C. Sheryl, LADAC
• Silverstone Healthcare of Lordsburg, LLC (Sunshine Haven At Lordsburg)
• Ahsley W. Smith, DMD
• Kelly Snarr
• Joanha M Strelaw
• Thi of New Mexico at En Su Casa LLC (En Su Casa Personal Care)
• Della Borrego Upton, BSW
• Mary Kathleen Watson
• Andrea Yanez
• Efstathia Yerende

• Skilled Nursing Facility in Lordsburg, NM
• Providers in Lordsburg, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.