Sunshine Gardens Nursing & Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUNSHINE GARDENS NURSING & REHAB LLC

Practice address

442 Comfort Dr
Marion, IL 62959-4927

Phone

(618) 364-0482

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Srinivas Gundala

Title

Ceo

Phone

(618) 364-0482

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Johnna Christeen Devin, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Carbondale, IL
  • NPI 1982948964
  Medicare reassignment
• Shiela Edaya Loyola, SHIELA

  • Skilled Nursing Facility
  • Kankakee, IL
  • NPI 1457644544
  Medicare reassignment
• Renee Delene Violett

  • Occupational Therapist
  • Herrin, IL
  • NPI 1821242066
  Medicare reassignment

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1629669916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 COMFORT DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594927",
            "telephone_number": "618-364-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 COMFORT DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594927",
            "telephone_number": "618-364-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE GARDENS NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "GUNDALA",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-364-0482"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Risa Stutz, MSW,LCSW
• NA Su, M.D., PH.D.
• Lesa Jan Suits
• Miranda L Sullivan
• Emily Sumner, OTR
• Sarah Renee Surprenant, OTR/L
• China Sutton
• Karen Jean Sutton
• Tiffiny Sweet, RN
• Dustin Swick

• Skilled Nursing Facility in Marion, IL
• Providers in Marion, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.