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SUNSHINE THERAPEUTIC GROUP HOME LLC
NPI 1790451839
Community Based Residential Treatment Facility, Mental Illness in Vidalia, LA

Active since August 18, 2021
4907 HIGHWAY 84 W, VIDALIA, LA 71373(601) 807-3833 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunshine Therapeutic Group Home Llc NPPES

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

SUNSHINE THERAPEUTIC GROUP HOME LLC (NPI 1790451839) is a healthcare organization registered as a community based residential treatment facility, mental illness in Vidalia, Louisiana and active in the NPI registry since August 2021. The organization lists Tina Bruce, Owner, as its authorized official.

NPPES Registry Identity

NPI1790451839
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSUNSHINE THERAPEUTIC GROUP HOME LLC
Location Address4907 HIGHWAY 84 WVidalia, LA 71373-3579
Mailing Address4907 Highway 84 WVidalia, LA 71373-3579
Phone(601) 807-3833
Organization SubpartNo
Authorized OfficialTina BruceOwner · (601) 807-3833
Enumeration DateAugust 18, 2021
Last NPPES UpdateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1790451839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
4907 HIGHWAY 84 W, Vidalia, LA 71373
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREANNA M WALKER
Case Manager/Care Coordinator
4907 HIGHWAY 84 W
VIDALIA, LA 71373
Concordia Parish (318) 414-3065
MONA LISA SWINNY
Case Manager/Care Coordinator
4907 HIGHWAY 84 W
VIDALIA, LA 71373
Concordia Parish (318) 414-3065

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 Sunshine Therapeutic Group Home LLC's NPI number?

The NPI number for Sunshine Therapeutic Group Home LLC is 1790451839. It was assigned to this organization in the NPPES registry on August 18, 2021.

Where is Sunshine Therapeutic Group Home LLC located?

Sunshine Therapeutic Group Home LLC is located at 4907 Highway 84 W, Vidalia, LA 71373. The listed phone number is (601) 807-3833.

What is Sunshine Therapeutic Group Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Sunshine Therapeutic Group Home LLC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.