Provider Demographics
NPI:1265622906
Name:SUNSHINE CHRISTIAN HOMES, INC
Entity type:Organization
Organization Name:SUNSHINE CHRISTIAN HOMES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:B
Authorized Official - Last Name:TOLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-934-8052
Mailing Address - Street 1:5250 WHIPPOORWILL DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34690-2100
Mailing Address - Country:US
Mailing Address - Phone:727-934-8052
Mailing Address - Fax:
Practice Address - Street 1:5250 WHIPPOORWILL DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-2100
Practice Address - Country:US
Practice Address - Phone:727-934-8052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL5602310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility