Organization Active NPI

Sunstar Village LLC

  • Assisted Living Facility
  • Pinellas Park, FL
National Provider Identifier
1801635008
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SUNSTAR VILLAGE LLC
Practice address
7575 65TH Way N
Pinellas Park, FL 33781-3116
Phone
(727) 601-3916
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Anna Lymonova
Title
Administrator
Phone
(727) 601-3916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7575 65TH Way N
Pinellas Park, FL 33781-3116

Mailing address

7575 65TH Way N
Pinellas Park, FL 33781-3116
Phone (727) 601-3916

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1801635008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 65TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813116",
            "telephone_number": "727-601-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 65TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813116",
            "telephone_number": "727-601-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTAR VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "LYMONOVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-601-3916"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.