Provider Demographics
NPI:1023617263
Name:SUMNER LIVING, INC
Entity type:Organization
Organization Name:SUMNER LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARVIN
Authorized Official - Middle Name:FIGUERAS
Authorized Official - Last Name:BUMANGLAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-350-1052
Mailing Address - Street 1:8652 SUMNER PL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2158
Mailing Address - Country:US
Mailing Address - Phone:714-350-1052
Mailing Address - Fax:714-841-0094
Practice Address - Street 1:8652 SUMNER PL
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-2158
Practice Address - Country:US
Practice Address - Phone:714-350-1052
Practice Address - Fax:714-841-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3104000000XMedicaid
CA310400000XMedicaid