Organization Active NPI

Sunny Days Adult Care

  • Assisted Living Facility
  • Palm Bay, FL
National Provider Identifier
1275808859
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12027 Issued in FL
Legal business name
SUNNY DAYS ADULT CARE
Practice address
1767 Orchid CT NW
Palm Bay, FL 32907-6985
Phone
(321) 460-4882
NPI assigned
Mar 15, 2012
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Ms. Jacqueline Andrea Fletcher
Title
Administrator
Phone
(321) 460-4882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12027 FL Primary

Addresses

Primary practice location

1767 Orchid CT NW
Palm Bay, FL 32907-6985

Mailing address

1767 Orchid CT NW
Palm Bay, FL 32907-6985
Phone (321) 460-4882

Other identifiers 1

IdentifierTypeStateIssuer
001508600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1275808859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 ORCHID CT NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329076985",
            "telephone_number": "321-460-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 ORCHID CT NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329076985",
            "telephone_number": "321-460-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY DAYS ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-460-4882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001508600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.