Healthcare Provider Details

I. General information

NPI: 1710844022
Provider Name (Legal Business Name): SUNSHINE COMMUNITY WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E 45TH ST STE 322F
CLEVELAND OH
44127-1088
US

IV. Provider business mailing address

3100 E 45TH ST STE 322F
CLEVELAND OH
44127-1088
US

V. Phone/Fax

Practice location:
  • Phone: 561-859-7545
  • Fax:
Mailing address:
  • Phone: 216-266-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: THEO SAINT-VILUS
Title or Position: ADMINISTRATOR
Credential:
Phone: 216-266-0069