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SUNSHINE SENSORY SPECTRUMS LLC NPI 1093468563


NPI Information

NPI: 1093468563
Provider Name: SUNSHINE SENSORY SPECTRUMS LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
6631 FORT KING RD APT 407
ZEPHYRHILLS, FL
ZIP 33542
Phone: (201) 838-9372
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SUNSHINE SENSORY SPECTRUMS LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Zephyrhills, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SUNSHINE SENSORY SPECTRUMS LLC NPI is 1093468563. The provider is registered as an organization entity type.

The provider's business location address is:

6631 FORT KING RD APT 407
ZEPHYRHILLS, FL
ZIP 33542-843
Phone: (201) 838-9372

The provider's authorized official is Jenneal M Lyons .
The authorized official title is Chief Executive Officer and has the following contact phone number (201) 838-9372.

The enumeration date for this NPI number is 2/3/2022 and was last updated on 2/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1108329200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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