NPIMap

Organization Active NPI

Sunshine Acres Assisted Living Facility, Inc.

  • Mental Illness Intermediate Care Facility
  • Caryville, FL
National Provider Identifier
1942489265
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
AL5461 Issued in FL
Legal business name
SUNSHINE ACRES ASSISTED LIVING FACILITY, INC.
Practice address
2563 River Rd
Caryville, FL 32427-2013
Phone
(850) 535-4432
Fax
(850) 535-4679
NPI assigned
Nov 2, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. Bruce D Hall
Title
Owner/Operator
Phone
(850) 535-4432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X AL5461 FL Primary

Addresses

Primary practice location

2563 River Rd
Caryville, FL 32427-2013

Mailing address

2563 River Rd
Caryville, FL 32427-2013
Phone (850) 535-4432

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1942489265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 RIVER RD",
            "city": "CARYVILLE",
            "state": "FL",
            "postal_code": "324272013",
            "telephone_number": "850-535-4432",
            "fax_number": "850-535-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 RIVER RD",
            "city": "CARYVILLE",
            "state": "FL",
            "postal_code": "324272013",
            "telephone_number": "850-535-4432",
            "fax_number": "850-535-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ACRES ASSISTED LIVING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "850-535-4432",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "FL",
            "license": "AL5461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caryville, FL

Sources for this page

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