Active NPI
Sunny Enterprise Inc
Doing business as westport medical
- Child Intellectual and/or Developmental Disabilities Respite Care
- Louisville, KY
National Provider Identifier
1649317736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- SUNNY ENTERPRISE INC
- Doing business as
- westport medical
- Practice address
- 8700 Westport Rd # Su112
Louisville, KY 40242-3100 - Phone
- (502) 425-4726
- Fax
- (502) 425-7560
- NPI assigned
- Jan 30, 2007
- Last updated
- Aug 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Curtis Wiggins
- Title
- Owner
- Phone
- (502) 425-4726
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
8700 Westport Rd # Su112
Louisville, KY 40242-3100
Mailing address
8700 Westport Rd
Suite #112
Lou, KY 40242
Phone (502) 425-4726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33000365 | Medicaid | KY |
Other names 1
- westport medical
National Provider Directory
National Provider Directory- Tax ID family
- Sunny Enterprise Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Westport Medical Equipment & Supplies
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1649318064
Locations
8700 Westport Rd
#112
Louisville, KY 40242
Phone (502) 425-4726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1649317736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 WESTPORT RD",
"address_2": "SUITE #112",
"city": "LOU",
"state": "KY",
"postal_code": "40242",
"telephone_number": "502-425-4726",
"fax_number": "502-425-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 WESTPORT RD # SU112",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402423100",
"telephone_number": "502-425-4726",
"fax_number": "502-425-7560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNNY ENTERPRISE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "WIGGINS",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-425-4726"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33000365",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "westport medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.