NPIMap

Organization Active NPI

Sunshine Inc Residential and Support Services

  • Occupational Therapist
  • Maumee, OH
National Provider Identifier
1740717511
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT001547 Issued in OH
Legal business name
SUNSHINE INC RESIDENTIAL AND SUPPORT SERVICES
Practice address
7223 Maumee Western Rd
Maumee, OH 43537-9755
Phone
(419) 865-0251
Fax
(419) 724-3353
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Lori Ciacelli, OTR/L
Title
Director Clinical Services
Phone
(419) 794-8602

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT006613 OH
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT001547 OH Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP5871 OH

Addresses

Primary practice location

7223 Maumee Western Rd
Maumee, OH 43537-9755

Mailing address

7223 Maumee Western Rd
Maumee, OH 43537-9755
Phone (419) 865-0251

Other names 1

  • SUNSHINE INC OF NORTHWEST OHIO Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1740717511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 MAUMEE WESTERN RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379755",
            "telephone_number": "419-865-0251",
            "fax_number": "419-724-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 MAUMEE WESTERN RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379755",
            "telephone_number": "419-865-0251",
            "fax_number": "419-724-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE INC RESIDENTIAL AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "CIACELLI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR CLINICAL SERVICES",
        "authorized_official_telephone_number": "419-794-8602",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT006613",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT001547",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP5871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE INC OF NORTHWEST OHIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.