Provider Demographics
NPI:1750848289
Name:SUNSET ADULT CARE ALF, LLC
Entity Type:Organization
Organization Name:SUNSET ADULT CARE ALF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-556-7182
Mailing Address - Street 1:10465 SW 158TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3188
Mailing Address - Country:US
Mailing Address - Phone:786-556-7182
Mailing Address - Fax:305-227-5609
Practice Address - Street 1:10465 SW 158TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3188
Practice Address - Country:US
Practice Address - Phone:786-556-7182
Practice Address - Fax:305-227-5609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility