NPIMap

Organization Active NPI

Sunshine Village

  • Developmentally Disabled Services Day Training Agency
  • Agawam, MA
National Provider Identifier
1346400967
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SUNSHINE VILLAGE
Practice address
588 Silver St Ste 120
Agawam, MA 01001-2924
Phone
(413) 568-2941
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Donna Erickson
Title
Billing and Contract Specialist
Phone
(413) 592-6142

Specialties & licenses 1

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

Addresses

Primary practice location

588 Silver St Ste 120
Agawam, MA 01001-2924

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1304411MedicaidMA

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

588 Silver St
Ste 120
Agawam, MA 01001
Phone (413) 568-2941

77 Mill St
Ste 120
Westfield, MA 01085

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1346400967",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 SILVER ST STE 120",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012924",
            "telephone_number": "413-568-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING AND CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "413-592-6142"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304411",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.