Provider Demographics
NPI:1285798082
Name:J H FLOYD SUNSHINE MANOR INC
Entity type:Organization
Organization Name:J H FLOYD SUNSHINE MANOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OR ACCOUNTING
Authorized Official - Prefix:MS
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-723-3000
Mailing Address - Street 1:1755 18TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-8657
Mailing Address - Country:US
Mailing Address - Phone:941-955-4915
Mailing Address - Fax:941-366-9455
Practice Address - Street 1:1755 18TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-8657
Practice Address - Country:US
Practice Address - Phone:941-955-4915
Practice Address - Fax:941-366-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF12510961314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020268100Medicaid
FL105774Medicare Oscar/Certification
FL106777Medicare Oscar/Certification