Healthcare Provider Details

I. General information

NPI: 1780519686
Provider Name (Legal Business Name): SUNNYSIDE CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 CLENDENNY AVE
JERSEY CITY NJ
07304-1504
US

IV. Provider business mailing address

116 CLENDENNY AVE
JERSEY CITY NJ
07304-1504
US

V. Phone/Fax

Practice location:
  • Phone: 551-343-9333
  • Fax:
Mailing address:
  • Phone: 551-343-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. VLADIMIR SYLNE
Title or Position: CEO
Credential: PHD
Phone: 551-343-9333