Provider Demographics
NPI:1376759985
Name:KARMEL-SUN FOUNDATION, INC.
Entity type:Organization
Organization Name:KARMEL-SUN FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:727-967-2957
Mailing Address - Street 1:1105 SUNSET DRIVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-2288
Mailing Address - Country:US
Mailing Address - Phone:727-947-3248
Mailing Address - Fax:727-947-3248
Practice Address - Street 1:1105 SUNSET DRIVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-2288
Practice Address - Country:US
Practice Address - Phone:727-947-3248
Practice Address - Fax:727-947-3248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
FL320600000X, 385H00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered385H00000XRespite Care FacilityRespite Care
Not Answered305S00000XManaged Care OrganizationsPoint of Service