Organization Active NPI

Sun Valley Health Care Services LLC

  • Health Service Clinic/Center
  • Belle Glade, FL
National Provider Identifier
1285212340
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SUN VALLEY HEALTH CARE SERVICES LLC
Doing business as
Sun Valley Health Care Services LLC
Practice address
156 W Avenue a
Belle Glade, FL 33430-3018
Phone
(561) 860-1888
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Marie Geralde Mengual, APRN
Title
Owner/Manager
Phone
(561) 860-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

156 W Avenue a
Belle Glade, FL 33430-3018

Mailing address

156 W Avenue a
Belle Glade, FL 33430-3018
Phone (561) 860-1888

Other names 1

  • SUN VALLEY HEALTH CARE SERVICES LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211009000110 FL Part B Supplier - Clinic/Group Practice 6507264249 Receives reassigned benefits from 1 practitioner
Practice locations: Belle Glade, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1285212340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W AVENUE A",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303018",
            "telephone_number": "561-860-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W AVENUE A",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334303018",
            "telephone_number": "561-860-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "MENGUAL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "GERALDE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "561-860-1888",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN VALLEY HEALTH CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Glade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.