Organization Active NPI

Sunshine Kids Pediatric Day Center, LLC

  • Medically Fragile Infants and Children Day Care
  • Dallas, TX
National Provider Identifier
1750916144
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
SUNSHINE KIDS PEDIATRIC DAY CENTER, LLC
Practice address
9127-9131 King Arthur Boulevard
Dallas, TX 75247
Phone
(954) 881-8230
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
David Maymon
Title
Owner
Phone
(954) 881-8230

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Medically Fragile Infants and Children Day Care 261QM3000X Primary

Addresses

Primary practice location

9127-9131 King Arthur Boulevard
Dallas, TX 75247

Mailing address

1710 Middle River Drive
Fort Lauderdale, FL 33305
Phone (954) 881-8230

Other identifiers 1

IdentifierTypeStateIssuer
10134300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kantime

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1750916144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MIDDLE RIVER DRIVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-881-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127-9131 KING ARTHUR BOULEVARD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75247",
            "telephone_number": "954-881-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE KIDS PEDIATRIC DAY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MAYMON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-881-8230"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10134300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kantime",
            "affiliation": "N",
            "address_1": "9127-9131 King Arthur Boulevard",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.