Organization Active NPI

Sunshiners Group Home

  • Developmentally Disabled Services Day Training Agency
  • Williston, FL
National Provider Identifier
1942423330
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SUNSHINERS GROUP HOME
Practice address
719 N Main St
Williston, FL 32696-1709
Phone
(352) 528-4380
Fax
(352) 528-0091
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mr. Frederick R Hart
Title
Owner Operator
Phone
(352) 528-4380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

719 N Main St
Williston, FL 32696-1709

Mailing address

719 N Main St
Williston, FL 32696
Phone (352) 528-4380

Other identifiers 1

IdentifierTypeStateIssuer
674272696MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1942423330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "32696",
            "telephone_number": "352-528-4380",
            "fax_number": "352-528-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326961709",
            "telephone_number": "352-528-4380",
            "fax_number": "352-528-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINERS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "352-528-4380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674272696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.