Organization Active NPI

Sun Palms Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Port Charlotte, FL
National Provider Identifier
1427453679
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9292 Issued in FL
Legal business name
SUN PALMS ADULT DAY CARE LLC
Practice address
12717 Gulfstream Blvd
Port Charlotte, FL 33981-6721
Phone
(315) 935-5485
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Hoplyn McSeine Beaton, MD
Title
Owner/ Administrator
Phone
(315) 935-5485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9292 FL Primary

Addresses

Primary practice location

12717 Gulfstream Blvd
Port Charlotte, FL 33981-6721

Mailing address

5568 Anderson Rd
Port Charlotte, FL 33981-2101
Phone (315) 935-5485

Other names 1

  • NOT APPLICABLE Other name

National Provider Directory

National Provider Directory

Locations

12717 Gulfstream Blvd
Port Charlotte, FL 33981
Phone (315) 935-5485

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1427453679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5568 ANDERSON RD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339812101",
            "telephone_number": "315-935-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12717 GULFSTREAM BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339816721",
            "telephone_number": "315-935-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN PALMS ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "BEATON",
        "authorized_official_first_name": "HOPLYN",
        "authorized_official_middle_name": "MCSEINE",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "315-935-5485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOT APPLICABLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.