Provider Demographics
NPI:1376322131
Name:SUNNY REIGN LLC
Entity Type:Organization
Organization Name:SUNNY REIGN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAPHNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOCELYN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:888-608-5556
Mailing Address - Street 1:1451 W CYPRESS CREEK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1953
Mailing Address - Country:US
Mailing Address - Phone:888-608-5556
Mailing Address - Fax:
Practice Address - Street 1:1451 W CYPRESS CREEK RD STE 300
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1953
Practice Address - Country:US
Practice Address - Phone:888-608-5556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care