Sunny Residence LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

10332 Issued in FL

Legal business name

SUNNY RESIDENCE LLC

Practice address

9001 SW 20 St.
Miramar, FL 33025-4728

Phone

(954) 436-1381

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Marjorie Elie

Title

Owner/Administrator

Phone

(954) 436-1381

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1235448101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 SW 20 ST.",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 SW 20 ST.",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254728",
            "telephone_number": "954-436-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "ELIE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-436-1381"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "10332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141949800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gemuel Jason Malabrigo Sumagpang
• Summerville Homes Inc.
• Summit Care Aco LLC
• Sundry Medical Corporation
• Sunlife Pharmacy
• Sunnyside Love Extravagant Group LLC
• Sunset Lakes Dental & Orthodontic Center
• Sunshine Anesthesia & Wellness Medical Group LLC
• Sunshine Chateau Alf, LLC
• Sunshine Community Mental Health Corp

• Alzheimer Center (Dementia Center) in Miramar, FL
• Providers in Miramar, FL by specialty
• Alzheimer Center (Dementia Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.