Sunniland Assisted Living Facility,LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

8267 Issued in FL

Legal business name

SUNNILAND ASSISTED LIVING FACILITY,LLC

Practice address

4234 Sunniland St
Sarasota, FL 34233-1817

Phone

(941) 921-3801

Fax

(941) 924-9783

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Benjamin Wade Moulton

Title

Cfo

Phone

(941) 921-3801

Specialties & licenses 1

Addresses

Practitioners 1

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

• Wanda Sue Moulton

  • Licensed Practical Nurse
  • Sarasota, FL
  • NPI 1568190197
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1417445685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 SUNNILAND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331817",
            "telephone_number": "941-921-3801",
            "fax_number": "941-924-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 SUNNILAND ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331817",
            "telephone_number": "941-921-3801",
            "fax_number": "941-924-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNILAND ASSISTED LIVING FACILITY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-921-3801"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Assisted Living Facility in Florida

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