SUNNY ENTERPRISE INC (NPI# 1649317736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649317736 |
| Entity Type | Organization |
| Organization Name | SUNNY ENTERPRISE INC |
| Other Organization Name | WESTPORT MEDICAL |
| Practice Address |
8700 Westport Rd # Su112 Louisville KY 40242-3100 |
| Mailing Address |
8700 Westport Rd Suite #112 Lou KY 40242 |
| Practice Telephone | 5024254726 |
| Practice Fax Number | 5024257560 |
| Mailing Telephone | 5024254726 |
| Mailing Fax Number | 5024257560 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | CURTIS WIGGINS (OWNER) |
| Authorized Official Telephone | 5024254726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations | ||
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 33000365 | 05 |
| Other Name | Type Code |
|---|---|
| westport medical | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | SUNNY ENTERPRISE INC | 2801 Memorial Pkwy Sw Suite 20, Huntsville, AL 35801 |
| New York State Corporations | SUNNY ENTERPRISE INC | 5 Miller Street, Hicksville, Ny 11801 |
| Street Address |
8700 WESTPORT RD # SU112 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40242-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689729121 | Robert E Bohn | Dentist | 9325 New Lagrange Road, Louisville, KY 40242 | 2007-01-24 |
| 1447303714 | Margaret C Campisano | Dentist | 9325 New Lagrange Rd, Louisville, KY 40242 | 2007-01-19 |
| 1386743037 | Kentuckiana Psychotherapy Associates | Social Worker | 9017 Taylorsville Rd, Louisville, KY 40242 | 2006-09-21 |
| 1245332279 | Paul Ezekiel Buck Sr. | Dentist | 8700 Bayberry Place, Paul E Buck Dmd, Louisville, KY 40242 | 2006-09-01 |
| 1326150947 | Terri White | Social Worker | 2603 Ballantrae Cir, Louisville, KY 40242 | 2006-08-31 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1841795317 | Ogedi Omenyinma | Non-emergency Medical Transport (VAN) | 2807 Valhalla Ct, Louisville, KY 40242-2402 | 2018-03-27 |
| 1275183451 | Emily Katherine Sturgeon | Nurse Practitioner | 8312 Easton Ln, Louisville, KY 40242-2518 | 2019-09-18 |
| 1538562376 | Sheila Mays | Social Worker | 2905 Brownsboro Vista Dr, Louisville, KY 40242-2965 | 2014-10-08 |
| 1558770032 | Judy Poiry Gradl | Occupational Therapist | 8407 Bayou Way, Louisville, KY 40242-3003 | 2014-08-08 |
| Find all providers in zip 40242 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598385718 | Jarvis Mack | Respite Care | 2105 Ashland St Apt B, Louisville, OH 44641-9032 | 2020-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386580 | Brandon D Smith | Respite Care | 686 Wischer Dr, Taylor Mill, KY 41015 | 2017-10-05 |
| 1720317084 | Superior Support Services,llc | Respite Care | 169 South Highway 1651, Whitley City, KY 42653-6087 | 2009-12-16 |
| 1033343090 | Commonwealth Care, Inc | Respite Care | 8 Bomber Drive, Hazard, KY 41701 | 2009-05-06 |
| 1750503330 | Womack-carter Options, LLC | Respite Care | 3380 State Route 121 N, Murray, KY 42071-7945 | 2007-05-03 |
| 1447303045 | Christian Appalachian Project, Inc | Respite Care | 25 Beiting Lane, Mt. Vernon, KY 40456 | 2007-01-19 |
| 1194161711 | Emmaus Respite and Resource Center, Inc. | Respite Care | 314 Main St, Greenup, KY 41144-1030 | 2013-05-22 |
| 1346402138 | Rising Star Studios of Kentucky, Inc. | Respite Care | 701 Philadelphia St, Covington, KY 41011-1244 | 2008-07-02 |
| City | LOUISVILLE |
| Zip Code | 40242 |
Please comment or provide details below to improve the information on SUNNY ENTERPRISE INC.
| 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.