Covered Entity Details

RWII48532 Sunshine Family Cares, Inc. (Active) - information as of 6/25/2025 12:50:03 AM

Main Details

Name

Sunshine Family Cares, Inc.

Subdivision Name

Type

Ryan White Part B

340B ID

RWII48532

Grant Number

X07HA00044

Additional Details

Current Program Status

Active

Registration Date

7/2/2024

Participating Start Date

10/1/2024

Participating Approval Date

8/20/2024

Last Recertification Date

2/10/2025

Time Period the Assistance was Received

10/1/2019 - 9/30/2030

Contacts

Authorizing Official

Sunshine Family Care Clinic
Lorrie Miles-Youngs, Director of Strategic Operations
(810) 620-0250

Primary Contact

Sunshine Family Cares, Inc.
Denise Hauxwell, Supervisor
(810) 620-0250

Addresses

Street Address

G3169 Beecher Road
Suite 100
Flint, MI 48532-3611

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MI	881030665	1528832318

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	BEECHER RD FAMILY PHARMACY	BEECHER RX LLC	G3169 BEECHER RD STE. 102	FLINT	MI	48532	08/20/2024	10/01/2024			10/01/2024
Contract Detail	TOWN CENTER PHARMACY		1201 FLUSHING ROAD SUITE #2	FLINT	MI	48504-8404	08/20/2024	10/01/2024			10/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification		2/10/2025 10:08:46 AM	2/10/2025 10:08 AM
Details	Assistance Received From Date	Update	Change Request	10/1/2023 12:00:00 AM	10/1/2019 12:00:00 AM	11/7/2024 10:18 AM
Details	Assistance Received To Date	Update	Change Request	9/30/2024 12:00:00 AM	9/30/2030 12:00:00 AM	11/7/2024 10:18 AM
Details	State	Update		Approved	Active	10/1/2024 12:01 AM
Addresses	Main Address	Insert	New Registration		G3169 Beecher Road Suite 100 Flint, MI 48532-3611	8/20/2024 12:49 PM
Contacts	Signed By	Insert	New Registration		Miles-Youngs, Lorrie Director of Strategic Operations Sunshine Family Care Clinic 8106200250	8/20/2024 12:49 PM
Details	340B ID	Update	New Registration		RWII48532	8/20/2024 12:49 PM
Dates	Participating Approval Date	Update	New Registration		8/20/2024 12:49:38 PM	8/20/2024 12:49 PM
Details	State	Update	New Registration	Pending	Approved	8/20/2024 12:49 PM
Dates	Signed By Date	Update	New Registration		8/5/2024 10:31:48 AM	8/20/2024 12:49 PM
Dates	Start Date	Update	New Registration		10/1/2024 12:00:00 AM	8/20/2024 12:49 PM
Addresses	Main Address	Insert	New Registration		G3169 Beecher Road Suite 100 Flint, MI 48532-3611	8/5/2024 10:31 AM
Details	Grant Number	Update	New Registration	X07HA0004434	X07HA00044	8/5/2024 10:31 AM
Addresses	Main Address	Insert	New Registration		G3169 Beecher Road Suite 100 Flint, MI 48532-3611	7/8/2024 1:32 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/8/2024 1:32 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		881030665	7/8/2024 1:32 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		MI	7/8/2024 1:32 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1528832318	7/8/2024 1:32 PM
Medicaid Billing	NPI: State	Insert	New Registration		MI	7/8/2024 1:32 PM
Details	Grant Number	Update	New Registration	X07HA000443400	X07HA0004434	7/8/2024 1:32 PM
Addresses	Main Address	Insert	New Registration		G3169 Beecher Road Suite 100 Flint, MI 48532-3611	7/2/2024 11:38 AM
Contacts	Authorizing Official	Insert	New Registration		Miles-Youngs, Lorrie Director of Strategic Operations Sunshine Family Care Clinic 8106200250	7/2/2024 11:38 AM
Contacts	Primary Contact	Insert	New Registration		Hauxwell, Denise Supervisor Sunshine Family Cares, Inc. 8106200250	7/2/2024 11:38 AM
Details	Assistance Received From Date	Insert	New Registration		10/1/2023 12:00:00 AM	7/2/2024 11:38 AM
Details	Assistance Received To Date	Insert	New Registration		9/30/2024 12:00:00 AM	7/2/2024 11:38 AM
Details	Last Recertification Date	Insert	New Registration			7/2/2024 11:38 AM
Details	Grant Number	Insert	New Registration		X07HA000443400	7/2/2024 11:38 AM
Details	340B ID	Insert	New Registration			7/2/2024 11:38 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/2/2024 11:38 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/2/2024 11:38 AM
Details	Medicare Provider Number	Insert	New Registration			7/2/2024 11:38 AM
Details	Entity Name	Insert	New Registration		Sunshine Family Cares, Inc.	7/2/2024 11:38 AM
Details	NOFO Number	Insert	New Registration			7/2/2024 11:38 AM
Details	Program Code	Insert	New Registration		RWII	7/2/2024 11:38 AM
Details	Entity Subname	Insert	New Registration			7/2/2024 11:38 AM
Dates	Participating Approval Date	Insert	New Registration			7/2/2024 11:38 AM
Details	State	Insert	New Registration		Pending	7/2/2024 11:38 AM
Dates	Registration Date	Insert	New Registration		7/2/2024 11:38:36 AM	7/2/2024 11:38 AM
Dates	Signed By Date	Insert	New Registration			7/2/2024 11:38 AM
Dates	Start Date	Insert	New Registration			7/2/2024 11:38 AM
Terminations	Termination Comments	Insert	New Registration			7/2/2024 11:38 AM
Terminations	Termination Date	Insert	New Registration			7/2/2024 11:38 AM
Terminations	Termination Effective Date	Insert	New Registration			7/2/2024 11:38 AM
Terminations	Termination Reason	Insert	New Registration			7/2/2024 11:38 AM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History