NPIMap

Organization Active NPI

Sunflower Therapy Centers Inc

  • Speech-Language Pathologist
  • Saint Joseph, MI
National Provider Identifier
1952099715
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNFLOWER THERAPY CENTERS INC
Practice address
1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709
Phone
(269) 235-9083
Fax
(269) 359-3735
NPI assigned
Apr 28, 2023
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Nicole DonnellyNPI 1770915431
Title
Co-President
Phone
(269) 235-9821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709

Mailing address

1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709
Phone (269) 235-9083

Other practice location 1

45 N Whittaker St Ste 204
New Buffalo, MI 49117-1173
Phone (269) 235-9821

Other practice location 2

18853 US Highway 12 Ste 3
New Buffalo, MI 49117-8100
Phone (269) 235-9821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519001376 MI Part B Supplier - Clinic/Group Practice 4789040510 Receives reassigned benefits from 25 practitioners
Practice locations: Saint Joseph, MI; New Buffalo, MI

National Provider Directory

National Provider Directory
Tax ID family
Sunflower Therapy CTRS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18853 US Highway 12
Ste 3
New Buffalo, MI 49117
Phone (269) 235-9547

45 N Whittaker St
Ste 204
New Buffalo, MI 49117
Phone (269) 235-9083

423 Sycamore St
Ste 103
Niles, MI 49120
Phone (269) 351-4082

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1952099715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD STE C",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859709",
            "telephone_number": "269-235-9083",
            "fax_number": "269-359-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD STE C",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859709",
            "telephone_number": "269-235-9083",
            "fax_number": "269-359-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 N Whittaker St Ste 204",
            "address_purpose": "LOCATION",
            "city": "New Buffalo",
            "state": "MI",
            "postal_code": "491171173",
            "country_code": "US",
            "telephone_number": "269-235-9821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18853 US Highway 12 Ste 3",
            "address_purpose": "LOCATION",
            "city": "New Buffalo",
            "state": "MI",
            "postal_code": "491178100",
            "country_code": "US",
            "telephone_number": "269-235-9821",
            "fax_number": "269-359-3735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNFLOWER THERAPY CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "269-235-9821"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.