Sunshineadult Family Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUNSHINEADULT FAMILY HOME LLC

Practice address

4905 Seaview Way
Everett, WA 98203-1431

Phone

(206) 356-9203

Fax

(425) 789-1495

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Michael L Nemirovsky, PROVIDER

Title

Managing Member

Phone

(206) 356-9203

Specialties & licenses 1

Addresses

Other names 1

• Ocean Cottage Adult Family Home Other name

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1710589056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 18TH ST",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752215",
            "telephone_number": "206-356-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 SEAVIEW WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031431",
            "telephone_number": "206-356-9203",
            "fax_number": "425-789-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINEADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "NEMIROVSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "206-356-9203",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Cottage Adult Family Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sunrise Services, Inc.
• Sunrise Services, Inc.
• Sunrise View Convalescent Center LLC
• Sunrise View Retirment Villa
• Sunrise View Villa
• Boonlert Sureepisarn, MHP
• Beverly Surface
• Pratap Suryadevara, PHARMACIST
• Harlyn Kaur Susarla, DMD, MPH
• Erin C Sutcliffe, MD

• Home Health Agency in Everett, WA
• Providers in Everett, WA by specialty
• Home Health Agency in Washington

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