NPIMap

Organization Active NPI

Sunrise Community, Inc.

Doing business as Bayshore Cluster

  • Intellectual Disabilities Intermediate Care Facility
  • Tallahassee, FL
National Provider Identifier
1215073416
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SUNRISE COMMUNITY, INC.
Doing business as
Bayshore Cluster
Practice address
1830 Buford CT
Tallahassee, FL 32308-4456
Phone
(850) 785-4691
NPI assigned
Jan 29, 2007
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Ana Karina Garcia
Title
Accounts Receivable Manager
Phone
(305) 273-3047

Specialties & licenses 1

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

Addresses

Primary practice location

1830 Buford CT
Tallahassee, FL 32308-4456

Mailing address

1830 Buford CT
Tallahassee, FL 32308-4456

Other identifiers 1

IdentifierTypeStateIssuer
U028031301MedicaidFL

Other names 1

  • Bayshore Cluster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Community Inc57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1215073416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BUFORD CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BUFORD CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084456",
            "telephone_number": "850-785-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "KARINA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "305-273-3047"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U028031301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Cluster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayshore Cluster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.