Organization · NPI-2

Sunshine Minnie Group Homes Care LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Orlando, FL

NPI number1003552373

StatusActive

Last updated in NPPESMay 10, 2022

Details

NPI: 1003552373
Entity type: Organization (NPI-2)
Legal business name: Sunshine Minnie Group Homes Care LLC
Organization subpart: No
Enumeration date: May 10, 2022
Certification date: May 10, 2022
Last updated: May 10, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
251E00000X	Home Health	–	–
310500000X	Intermediate Care Facility, Mental Illness	–	–
373H00000X	Day Training/Habilitation Specialist	–	–

Practice location

6630 Coral Cove Dr
Orlando, FL 32818-2849

Phone 754-234-1590

Mailing address

6630 Coral Cove Dr
Orlando, FL 32818-2849

Phone 754-234-1590

Authorized official

Manoucheca Augustin
Ceo
7542341590

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.