Sunshine Adult Day Care Facility

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

746 Issued in MO

Legal business name

SUNSHINE ADULT DAY CARE FACILITY

Practice address

6207 N Lindbergh Blvd
Hazelwood, MO 63042-2817

Phone

(314) 731-8087

Fax

(314) 731-8079

NPI assigned

Feb 16, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Deloris C Campbell

Title

Director

Phone

(314) 398-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203120000000",
    "number": "1508034117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422817",
            "telephone_number": "314-731-8087",
            "fax_number": "314-731-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 N LINDBERGH BLVD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422817",
            "telephone_number": "314-731-8087",
            "fax_number": "314-731-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ADULT DAY CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-16",
        "last_updated": "2008-02-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DELORIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-398-9800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MO",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany M Stern, FNP
• Stephen Wayne Stewart, MA, LPC, NCC
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• PACE Provider Organization in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• PACE Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; 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.