Provider Demographics
NPI:1164072005
Name:SUNFLOWER ALF LLC
Entity Type:Organization
Organization Name:SUNFLOWER ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-553-4724
Mailing Address - Street 1:15135 NW 88 COURT
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1351
Mailing Address - Country:US
Mailing Address - Phone:305-820-1165
Mailing Address - Fax:305-820-1165
Practice Address - Street 1:15135 NW 88 COURT
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-1351
Practice Address - Country:US
Practice Address - Phone:305-820-1165
Practice Address - Fax:305-820-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109784500Medicaid