SUNSET RESIDENTIAL CENTER LLC
NPI 1679134183
Assisted Living Facility - Assisted Living, Mental Illness in Hermanville, MS

Q: What is Sunset Residential Center LLC's NPI number?

The NPI number for Sunset Residential Center LLC is 1679134183. It was assigned to this organization in the NPPES registry on June 25, 2019.

Q: What is Sunset Residential Center LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since June 25, 2019

20114B HIGHWAY 18, HERMANVILLE, MS 39086(601) 535-2059(601) 535-2059 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sunset Residential Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNSET RESIDENTIAL CENTER LLC (NPI 1679134183) is a healthcare organization registered as an assisted living, mental illness in Hermanville, Mississippi and active in the NPI registry since June 2019. The organization lists Gloria Jean Shoulders, Owner, as its authorized official.

NPPES Registry Identity

NPI1679134183

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameSUNSET RESIDENTIAL CENTER LLC

Location Address20114B HIGHWAY 18Hermanville, MS 39086-9747

Mailing Address20114b Highway 18Hermanville, MS 39086-9747 · (601) 535-2059 · Fax (601) 535-2059

Phone(601) 535-2059

Fax(601) 535-2059

Organization SubpartNo

Authorized OfficialGloria Jean ShouldersOwner · (601) 831-2371

Enumeration DateJune 25, 2019

✔ NPI 1679134183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

20114B HIGHWAY 18, Hermanville, MS 39086

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunset Residential Center LLC's NPI number?

The NPI number for Sunset Residential Center LLC is 1679134183. It was assigned to this organization in the NPPES registry on June 25, 2019.

Where is Sunset Residential Center LLC located?

Sunset Residential Center LLC is located at 20114B Highway 18, Hermanville, MS 39086. The listed phone number is (601) 535-2059.

What is Sunset Residential Center LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Sunset Residential Center LLC was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.