Sunshine Residential, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

033719 Issued in MO

Legal business name

SUNSHINE RESIDENTIAL, LLC

Doing business as

Sunshine Acres Residential Care

Practice address

541 Rock Road
Bourbon, MO 65441

Phone

(573) 732-5366

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David L Nolting

Title

Manager

Phone

(573) 732-5366

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Acres Residential Care Doing business as

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356462949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633760005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 ROCK ROAD",
            "city": "BOURBON",
            "state": "MO",
            "postal_code": "65441",
            "telephone_number": "573-732-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOLTING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-732-5366"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MO",
            "license": "033719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Acres Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Marie Schmader, DDS
• Kaitlin Alexandra Smith, CF-SLP
• South Central Missouri Community Health Center (Your Community Health Center)
• Samantha R Stroup, COTA/L
• Sunshine RC LLC (Sunshine Acres Residential Care)
• Margaretha Theodora Van Gool, PT

• Custodial Care Facility in Bourbon, MO
• Providers in Bourbon, MO by specialty
• Custodial Care Facility in Missouri

• 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.