MEDICARE: KARMEL-SUN FOUNDATION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	FL
3	385H00000X	Respite Care	FL
4	305S00000X	Point of Service	FL

General Provider Information

NPI Number	:	1376759985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARMEL-SUN FOUNDATION, INC.

Provider Business Mailing Address
First Line	:	1105 SUNSET DRIVE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-2288
Country	:	US
Telephone Number	:	727-947-3248
Fax Number	:	727-947-3248

Provider Business Practice Location Address
First Line	:	1105 SUNSET DRIVE
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-2288
Country	:	US
Telephone Number	:	727-947-3248
Fax Number	:	727-947-3248

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	THOMAS GARDNER
Credential	:	PRESIDENT
Telephone Number	:	727-967-2957

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	09/11/2025

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