Organization Active NPI

Sunshine Gardens/ Crystal River LLC

  • Assisted Living Facility
  • Crystal River, FL
National Provider Identifier
1215335708
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12230 Issued in FL
Legal business name
SUNSHINE GARDENS/ CRYSTAL RIVER LLC
Practice address
311 NE 4TH Ave
Crystal River, FL 34429-4222
Phone
(352) 563-0235
Fax
(352) 563-0239
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Mrs. Christine Erick
Title
Administrator
Phone
(352) 563-0239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12230 FL Primary

Addresses

Primary practice location

311 NE 4TH Ave
Crystal River, FL 34429-4222

Mailing address

311 NE 4TH Ave
Crystal River, FL 34429-4222
Phone (352) 563-0235

National Provider Directory

National Provider Directory

Locations

311 NE 4th Ave
Crystal River, FL 34429
Phone (352) 563-0235

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1215335708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NE 4TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294222",
            "telephone_number": "352-563-0235",
            "fax_number": "352-563-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NE 4TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294222",
            "telephone_number": "352-563-0235",
            "fax_number": "352-563-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE GARDENS/ CRYSTAL RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "ERICK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-563-0239",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.