Sunshine Haven, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

25 Issued in TX

Legal business name

SUNSHINE HAVEN, INC.

Practice address

7105 W Lakeside Blvd
Olmito, TX 78575-9767

Phone

(956) 350-8400

Fax

(956) 350-8089

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth P Shull, M.ED.

Title

Executive Director

Phone

(956) 350-8400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1699037101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4478",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785234478",
            "telephone_number": "956-350-8400",
            "fax_number": "956-350-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 W LAKESIDE BLVD",
            "city": "OLMITO",
            "state": "TX",
            "postal_code": "785759767",
            "telephone_number": "956-350-8400",
            "fax_number": "956-350-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "956-350-8400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "25",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "TX",
            "license": "25",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.