Provider Demographics
NPI:1003120171
Name:SUNSHINE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SUNSHINE HOME HEALTH SERVICES INC
Other - Org Name:SUNSHINE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BONIFACE
Authorized Official - Middle Name:C
Authorized Official - Last Name:AZIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-407-7799
Mailing Address - Street 1:10100 HUNTER RUN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-5736
Mailing Address - Country:US
Mailing Address - Phone:214-407-7799
Mailing Address - Fax:214-572-9364
Practice Address - Street 1:10100 HUNTER RUN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5736
Practice Address - Country:US
Practice Address - Phone:214-407-7799
Practice Address - Fax:214-572-9364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-01
Last Update Date:2010-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health