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SUNSHINE ASSISTED LIVING
NPI 1992906408
Custodial Care Facility - Adult Care Home in Kingman, AZ

Active since May 31, 2007
1815 AIRFIELD AVE, KINGMAN, AZ 86401(928) 753-9428(928) 565-7472 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunshine Assisted Living NPPES

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

SUNSHINE ASSISTED LIVING (NPI 1992906408) is a healthcare organization registered as an adult care home in Kingman, Arizona and active in the NPI registry since May 2007. The organization lists Enid Ballentine, Manager, as its authorized official.

NPPES Registry Identity

NPI1992906408
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSUNSHINE ASSISTED LIVING
Location Address1815 AIRFIELD AVEKingman, AZ 86401-4004
Mailing Address1815 Airfield AveKingman, AZ 86401-4004 · (928) 753-9428 · Fax (928) 565-7472
Phone(928) 753-9428
Fax(928) 565-7472
Organization SubpartNo
Authorized OfficialEnid BallentineManager · (928) 753-9428
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 8, 2008
✔ NPI 1992906408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in AZ · ALH6156
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1815 AIRFIELD AVE, Kingman, AZ 86401
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Other Identifiers 1

Medicaid204833AZ

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 Assisted Living's NPI number?

The NPI number for Sunshine Assisted Living is 1992906408. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Sunshine Assisted Living located?

Sunshine Assisted Living is located at 1815 Airfield Ave, Kingman, AZ 86401. The listed phone number is (928) 753-9428.

What is Sunshine Assisted Living's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Sunshine Assisted Living was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.