NPIMap

Organization Active NPI

Sunshine Elderly Residence Corp.

  • Assisted Living Facility
  • Hialeah, FL
National Provider Identifier
1700214376
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10235 Issued in FL
Legal business name
SUNSHINE ELDERLY RESIDENCE CORP.
Practice address
870 N.E. 5 Street
Hialeah, FL 33010
Phone
(786) 616-8505
Fax
(786) 616-8493
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Julia M. Boza
Title
Owner/Administrator
Phone
(786) 376-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10235 FL Primary

Addresses

Primary practice location

870 N.E. 5 Street
Hialeah, FL 33010

Mailing address

870 N.E. 5 Street
Hialeah, FL 33010
Phone (786) 616-8505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1700214376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N.E. 5 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "786-616-8505",
            "fax_number": "786-616-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 N.E. 5 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33010",
            "telephone_number": "786-616-8505",
            "fax_number": "786-616-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ELDERLY RESIDENCE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "BOZA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "786-376-1018"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.