SUNSHINE SUPPORT SERVICES, LLC (NPI# 1134613540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134613540 |
| Entity Type | Organization |
| Organization Name | SUNSHINE SUPPORT SERVICES, LLC |
| Practice Address |
9205 Redtail Dr Jacksonville FL 32222-2811 |
| Practice Telephone | 9042580489 |
| Mailing Telephone | 9042580489 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | MRS. EDWINNA SEAN HARRIS (OWNER/OPERATOR) |
| Authorized Official Telephone | 9042580489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 709924 | 05 |
| Street Address |
9205 REDTAIL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32222-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1053874578 | Silver Linings Community Care, LLC. | Home Health Aide | 250 Cherry Ridge #1435, Jacksonville, FL 32222 | 2019-04-11 |
| 1588144802 | Fleming Total Support Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6760 Portofina Ct, Jacksonville, FL 32222 | 2018-08-16 |
| 1447736293 | Phyllis N Parrish | Home Health Aide | 10506 Innisbrook Dr, Jacksonville, FL 32222 | 2018-07-16 |
| 1851880793 | Keiarra Hendrick | Clinic/Center | 250 Cherry Ridge Dr Apt 1021, Jacksonville, FL 32222 | 2018-05-07 |
| 1427573310 | Priority Love & Care, Inc. | Voluntary or Charitable | 7283 Old Middleburg Rd S, Jacksonville, FL 32222 | 2017-08-11 |
| 1801334834 | Stacey Nicole Harden | Nurse Practitioner | 9785 Corsshill Blvd, Suite 108, Jacksonville, FL 32222 | 2017-02-09 |
| 1184031841 | Andrew Todd Pinder | Family Medicine | 8355 Merchants Gate Drive, Jacksonville, FL 32222 | 2014-07-15 |
| 1538455142 | Ricky Wallace | Social Worker | 10512 Innisbrook Drive, Jacksonville, FL 32222 | 2011-06-22 |
| 1477597680 | Kelly Lynne Broekhof | Registered Nurse | Bldg 2104 Massey Ave, Naval Station Mayport, Jacksonville, FL 32222 | 2006-06-16 |
| Find all providers in zip 32222 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847268 | Joshua R Grant | Day Training, Developmentally Disabled Services | 2405 Almeda St, Jacksonville, FL 32209-4632 | 2020-09-24 |
| 1760092589 | I Am Care LLC | Day Training, Developmentally Disabled Services | 6732 Gentle Oaks Dr, Jacksonville, FL 32244-3690 | 2020-08-06 |
| 1780200386 | Exceptional Comfort and Care, LLC | Day Training, Developmentally Disabled Services | 9608 Woodstone Mill Dr, Jacksonville, FL 32244-7911 | 2020-06-19 |
| 1902427370 | Endless Possibilities of Hope LLC | Day Training, Developmentally Disabled Services | 3410 Kingston St, Jacksonville, FL 32254-2338 | 2020-04-27 |
| 1144850835 | Safekeeping Support Services, LLC | Day Training, Developmentally Disabled Services | 10316 Red Tip Rd, Jacksonville, FL 32218-9132 | 2020-01-22 |
| 1174153852 | Erica C Williams | Day Training, Developmentally Disabled Services | 1026 Gallant Fox Cir S, Jacksonville, FL 32218-1955 | 2020-01-22 |
| 1336602093 | Special Methods In Life Enrichment Services LLC | Day Training, Developmentally Disabled Services | 7187 Overland Park Blvd E, Jacksonville, FL 32244-4254 | 2019-04-10 |
| 1013481720 | Dorothy Washington | Day Training, Developmentally Disabled Services | 6316 San Juan Ave Ste 41a, Jacksonville, FL 32210-2883 | 2019-01-15 |
| 1114492295 | Xiaxiang Daniels | Day Training, Developmentally Disabled Services | 5620 Collins Rd Apt 109, Jacksonville, FL 32244-6909 | 2018-10-04 |
| 1730682428 | Kamala A Oruamabo | Day Training, Developmentally Disabled Services | 3625 Stuart St, Jacksonville, FL 32209-4005 | 2018-03-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32222 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.