Provider Demographics
NPI:1912658717
Name:SUNSHINE ASSISTED LIVING
Entity type:Organization
Organization Name:SUNSHINE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUSINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-276-1705
Mailing Address - Street 1:1241 S PARKER RD STE 201
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2161
Mailing Address - Country:US
Mailing Address - Phone:720-276-1705
Mailing Address - Fax:
Practice Address - Street 1:3106 S OLATHE WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2024
Practice Address - Country:US
Practice Address - Phone:720-276-1705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility