Sunny Side Group Home LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

SUNNY SIDE GROUP HOME LLC

Practice address

252 W Caribbean Dr
Casa Grande, AZ 85122-4998

Phone

(202) 880-5147

NPI assigned

Sep 5, 2024

Last updated

Sep 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Andre Robinson IINPI 1144055997

Title

Owner

Phone

(202) 880-5147

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michael Andre Robinson II

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Casa Grande, AZ
  • NPI 1144055997

  Residential Treatment Facility, Emotionally Disturbed Children

  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1962237297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W CARIBBEAN DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224998",
            "telephone_number": "202-880-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W CARIBBEAN DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224998",
            "telephone_number": "202-880-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SIDE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-880-5147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Life Family Health Center, Inc.
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• Sun Valley Physical Medicine and Rehabilitation
• Sunlight Forever Family
• Sunshine Child & Adolescent Care, Inc.
• Super Smiles 4 Kids CG, PLLC (Super Smiles 4 Families)
• Super Smiles for Kids, LLC
• Suresh Balenalli, PLLC (Pinnacle Health Center)
• Surgical Specialties of Casa Grande (The Surgery Center of Casa Grande)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.