Provider Demographics
NPI:1619139193
Name:J H FLOYD SUNSHINE MANOR INC
Entity Type:Organization
Organization Name:J H FLOYD SUNSHINE MANOR INC
Other - Org Name:SUNSHINE MEADOWS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:F
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-955-4915
Mailing Address - Street 1:1809 18TH STREET
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-8657
Mailing Address - Country:US
Mailing Address - Phone:941-906-9217
Mailing Address - Fax:
Practice Address - Street 1:1809 18TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-7586
Practice Address - Country:US
Practice Address - Phone:941-906-9217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL9060310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL140833000Medicaid
FL675814200Medicaid