Sunny Hills Alf of Homestead, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10203 Issued in FL

Legal business name

SUNNY HILLS ALF OF HOMESTEAD, INC

Practice address

25268 SW 134TH Ave
Homestead, FL 33032-5619

Phone

(305) 258-2222

Fax

(863) 382-9715

NPI assigned

Nov 3, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Katelynn Darlene Holton

Title

Risk Manager

Phone

(863) 245-6681

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383436800000",
    "number": "1689003394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25268 SW 134TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325619",
            "telephone_number": "305-258-2222",
            "fax_number": "863-382-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25268 SW 134TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325619",
            "telephone_number": "305-258-2222",
            "fax_number": "863-382-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY HILLS ALF OF HOMESTEAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2013-11-03",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "KATELYNN",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "RISK MANAGER",
        "authorized_official_telephone_number": "863-245-6681",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002714200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladys Amelia Summers, PBT
• Mary Sumpter
• Sunbright Health Medical Centers, Inc.
• Sunlight ABA Services LLC
• Sunlight Center LLC
• Sunny Hills of Homestead
• Sunrise Behavioral Health and Support Services Inc
• Sunrise Community, Inc.
• Sunset Yr LLC
• Sunshine Case Management Solutions LLC

• Assisted Living Facility in Homestead, FL
• Providers in Homestead, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; 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.