Suhog Project Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SUHOG PROJECT INCORPORATED

Practice address

260 W Van Fleet Dr Apt 41
Bartow, FL 33830

Phone

(863) 608-8671

NPI assigned

Nov 16, 2018

Organization subpart

No

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

Authorized official

Name

Antonia RichmondNPI 1144737438

Title

Chief Executive Officer

Phone

(863) 608-8671

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Antonia Richmond, MD/PHD

  • Case Manager/Care Coordinator
  • Bartow, FL
  • NPI 1144737438
  NPD (past) Authorized official

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1366911638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E VAN FLEET DR # 313",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303829",
            "telephone_number": "863-608-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W VAN FLEET DR APT 41",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-608-8671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 W Van Fleet Dr Apt 41",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "33830",
            "country_code": "US",
            "telephone_number": "863-608-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUHOG PROJECT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "863-608-8671"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Stohinski
• Courtney Stokes
• Mario Stone
• Bianca Strudwick
• Deidre Stukes
• Sunshine, Lollipops and Rainbows, LLC
• Sunshine, Lollipops and Rainbows, LLC
• Richard Francis Sweeney, MD
• Maria Antonia Switzer
• Laina Marie Taelor

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bartow, FL
• Providers in Bartow, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.