Provider Demographics
NPI:1053008581
Name:SUNNY OVERVIEW LLC
Entity type:Organization
Organization Name:SUNNY OVERVIEW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LENNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-854-2687
Mailing Address - Street 1:8330 N 19TH AVE APT 2071
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-5276
Mailing Address - Country:US
Mailing Address - Phone:347-854-2687
Mailing Address - Fax:
Practice Address - Street 1:8330 N 19TH AVE APT 2071
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-5276
Practice Address - Country:US
Practice Address - Phone:347-854-2687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child