Provider Demographics
NPI:1265427934
Name:SUN CITY CENTER ASSOCIATES, LTD. (L.P.)
Entity type:Organization
Organization Name:SUN CITY CENTER ASSOCIATES, LTD. (L.P.)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:P
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-725-6131
Mailing Address - Street 1:105 TRINITY LAKES DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5728
Mailing Address - Country:US
Mailing Address - Phone:813-634-3324
Mailing Address - Fax:813-634-5127
Practice Address - Street 1:105 TRINITY LAKES DR
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5728
Practice Address - Country:US
Practice Address - Phone:813-634-3324
Practice Address - Fax:813-634-5127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1527096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020985600Medicaid
FL020985600Medicaid