Provider Demographics
NPI:1003127580
Name:SUNSHINE HOSPICE, INC.
Entity Type:Organization
Organization Name:SUNSHINE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHUSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YEREMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-786-1440
Mailing Address - Street 1:14549 ARCHWOOD ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4633
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14549 ARCHWOOD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4633
Practice Address - Country:US
Practice Address - Phone:818-786-1440
Practice Address - Fax:818-786-2290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based