Sunshine Station at Sardis

Primary specialty

Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X

Legal business name

SUNSHINE STATION AT SARDIS

Practice address

4405 Sardis Church Rd
Monroe, NC 28110-7998

Phone

(704) 320-4686

Fax

(704) 973-0844

NPI assigned

Dec 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Janice Elaine Helms, LPC, ITFS

Title

Program Director

Phone

(704) 882-7642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Early Intervention Services at Sardis Doing business as

Locations

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689736399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 SARDIS CHURCH RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107998",
            "telephone_number": "704-320-4686",
            "fax_number": "704-973-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 SARDIS CHURCH RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107998",
            "telephone_number": "704-320-4686",
            "fax_number": "704-973-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATION AT SARDIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "704-882-7642",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, ITFS"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300008K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Intervention Services at Sardis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Blind Rehabilitation Specialist/Technologist in Monroe, NC
• Providers in Monroe, NC by specialty
• Blind Rehabilitation Specialist/Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.