Sunshine Behavioral Health Group LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Raymond, IL
NPI 1891464467 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1891464467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- SUNSHINE BEHAVIORAL HEALTH GROUP LLC
- Practice address
- 19067 W Frontage Rd
Raymond, IL 62560-5053 - Phone
- (949) 988-0471
- NPI assigned
- Sep 8, 2021
- Organization subpart
- No
Authorized official
- Name
- Stephen Vanhooser, CADC-II
- Title
- Director of Compliance
- Phone
- (949) 750-2014
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Lincoln Recovery LLC
Locations
19067 W Frontage Rd
#A
Raymond, IL 62560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
19067 W Frontage Rd
Raymond, IL 62560-5053
Mailing address
Dept#880620 PO Box 29650
Phoenix, AZ 85038-9650
Phone (949) 750-2014
Other practice location 1
19067 A W Frontage Rd
Raymond, IL 62560
Phone (949) 988-0471
Other names
- Lincoln Recovery LLC
Other providers in Raymond, IL
- Ellen Edith Mouser
- Panhandle Cusd 2
- Raymond Harvel Area Ambulance Service
- Springfield Clinic LLP
- Maurice E Sullivan
- Telehelp LLC
- Samantha Jo Whitten
- Mark A Wood
All providers in Raymond, IL · Substance Abuse Rehabilitation Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.