MEDICARE: SUNSHINE COMMUNITY WELLNESS CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710844022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE COMMUNITY WELLNESS CENTER

Provider Business Mailing Address
First Line	:	3100 E 45TH ST STE 322F
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1088
Country	:	US
Telephone Number	:	216-266-0069
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 E 45TH ST STE 322F
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1088
Country	:	US
Telephone Number	:	561-859-7545
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	THEO SAINT-VILUS
Credential	:
Telephone Number	:	216-266-0069

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/12/2026

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