Sun Sober House, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUN SOBER HOUSE, LLC

Practice address

13261 US Highway 1
Juno Beach, FL 33408-2222

Phone

(561) 337-3200

Fax

(844) 681-2025

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Glenn Cohen

Title

Ceo

Phone

(561) 337-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1770031585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13261 US HIGHWAY 1",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082222",
            "telephone_number": "561-337-3200",
            "fax_number": "844-681-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13261 US HIGHWAY 1",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082222",
            "telephone_number": "561-337-3200",
            "fax_number": "844-681-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN SOBER HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-337-3200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Marie Stephenson
• Veronica Carrie Stern, L.M.T.
• Kimberleigh Stickney, LCMHC
• Constance Faith Stilwell, LICENSED MASSAGE THE
• Alyssa Michelle Streit, L.M.T.
• Yudith Rodriguez Sun, LMT
• Marta Sztano, LMT
• Katherine Soo Tian Tan
• Selena Blossom Taylor, LICENSED MASSAGE THE
• The Human Potential Center

• Assisted Living Facility in Juno Beach, FL
• Providers in Juno Beach, 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 Sep 21, 2016; 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.