Sundance Rehabilitation Agency Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

N/A Issued in NU

Legal business name

SUNDANCE REHABILITATION AGENCY INC

Doing business as

Five Points Rehabilitation Agency

Practice address

2480 N Park Rd
Hollywood, FL 33021-3744

Phone

(954) 961-9522

Fax

(954) 961-9524

NPI assigned

May 24, 2006

Last updated

Dec 6, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNDANCE REHABILITATION CORPORATIONAs reported in NPPES

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

Authorized official

Name

Sue Gwyn

Title

President Director

Phone

(703) 684-1004

Specialties & licenses 1

Addresses

Other names 1

• Five Points Rehabilitation Agency Doing business as

Part of

Sundance Rehabilitation Corp

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Sundance Rehabilitation Agency, LLC

  • Rehabilitation Clinic/Center
  • Athens, GA
  • NPI 1508281411

  Member Of

  NPD member
• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Sewell, NJ
  • NPI 1750336053

  Member Of

  NPD member

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1871548842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 N PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213744",
            "telephone_number": "954-961-9522",
            "fax_number": "954-961-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE REHABILITATION AGENCY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNDANCE REHABILITATION CORPORATION",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "GWYN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "703-684-1004"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Points Rehabilitation Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summit Health Plan, Inc.
• Constance Sumpter
• Sun Florida Healthcare Inc. (Glorious Homemaker and Companion Services)
• Suncoast Medical Imaging LLC
• Sundance Rehab
• Sunny Days Assisted Living Facility LLC
• Sunny Days of Broward CMHC, Inc.
• Sunny Isles Health Center, Inc.
• Sunrise Diagnostics, LLC
• Sunrise Medical Group I, LLC

• Rehabilitation Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.