Susies Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12354 Issued in FL

Legal business name

SUSIES HOME LLC

Doing business as

Susie's Home

Practice address

28B Karat Path
Palm Coast, FL 32164-5670

Phone

(386) 437-3131

Fax

(386) 437-3131

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Junichi Obama

Title

Ceo

Phone

(386) 437-3131

Specialties & licenses 1

Addresses

Other names 1

• Susie's Home Doing business as

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1700221959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28B KARAT PATH",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645670",
            "telephone_number": "386-437-3131",
            "fax_number": "386-437-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28B KARAT PATH",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645670",
            "telephone_number": "386-437-3131",
            "fax_number": "386-437-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSIES HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "OBAMA",
        "authorized_official_first_name": "JUNICHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-437-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susie's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson Rae Suit, D.D.S.
• Jonathan M Sullivan, D.P.M.
• Sunshine Family Healthcare, LLC
• Sunshine Family Healthcare, LLC
• Sunshine Psychiatric Care LLC
• Robin Susser, PH.D.
• Sustainable Rehabilitation LLC
• Clarissa Swartzlander
• Sweetie Peetie LLC (Palm Coast Hearing Center)
• John G. Symeonides, MD

• Assisted Living Facility in Palm Coast, FL
• Providers in Palm Coast, 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 May 22, 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.