Provider Demographics
NPI:1821033218
Name:SUNNY DAYS OF PALM BEACH CMHC INC
Entity Type:Organization
Organization Name:SUNNY DAYS OF PALM BEACH CMHC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:PRADERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-274-2066
Mailing Address - Street 1:2226 W ATLANTIC AVE
Mailing Address - Street 2:SUITE W
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4637
Mailing Address - Country:US
Mailing Address - Phone:561-274-2066
Mailing Address - Fax:561-274-2125
Practice Address - Street 1:2226 W ATLANTIC AVE
Practice Address - Street 2:SUITE W
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4637
Practice Address - Country:US
Practice Address - Phone:561-274-2066
Practice Address - Fax:561-274-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6233261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-1486Medicare ID - Type UnspecifiedCMHC