NPIMap

Organization Active NPI

Sunshine Village, Inc,

  • Developmentally Disabled Services Day Training Agency
  • Three Rivers, MA
National Provider Identifier
1336367101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SUNSHINE VILLAGE, INC,
Practice address
65 Springfield St
Three Rivers, MA 01080-1227
Phone
(413) 289-2023
Fax
(413) 283-3589
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sudhakar Vamathevan
Title
Chief Financial Officer
Phone
(413) 592-6142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

65 Springfield St
Three Rivers, MA 01080-1227

Mailing address

75 Litwin LN
Chicopee, MA 01020-4817
Phone (413) 592-6142

Other identifiers 1

IdentifierTypeStateIssuer
1317580MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Village Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

65 Springfield St
Three Rivers, MA 01080
Phone (413) 289-2023

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336367101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LITWIN LN",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204817",
            "telephone_number": "413-592-6142",
            "fax_number": "413-598-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SPRINGFIELD ST",
            "city": "THREE RIVERS",
            "state": "MA",
            "postal_code": "010801227",
            "telephone_number": "413-289-2023",
            "fax_number": "413-283-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE VILLAGE, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAMATHEVAN",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "413-592-6142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317580",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.