Organization Active NPI

Sunshine Acres Loving Care Assisted Living Facility Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Caryville, FL
National Provider Identifier
1639404106
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AL5461 Issued in FL
Legal business name
SUNSHINE ACRES LOVING CARE ASSISTED LIVING FACILITY INC
Practice address
2563 River Rd
Caryville, FL 32427-2013
Phone
(850) 535-4432
NPI assigned
Oct 16, 2009
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
John Manukonda
Title
President
Phone
(850) 535-4432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AL5461 FL Primary

Addresses

Primary practice location

2563 River Rd
Caryville, FL 32427-2013

Mailing address

2563 River Rd
Caryville, FL 32427-2013
Phone (850) 535-4432

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1639404106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 RIVER RD",
            "city": "CARYVILLE",
            "state": "FL",
            "postal_code": "324272013",
            "telephone_number": "850-535-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 RIVER RD",
            "city": "CARYVILLE",
            "state": "FL",
            "postal_code": "324272013",
            "telephone_number": "850-535-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ACRES LOVING CARE ASSISTED LIVING FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "MANUKONDA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-535-4432"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "AL5461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caryville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.