Provider Demographics
NPI:1003674052
Name:SUNFLOWER HOME CARE LLC
Entity Type:Organization
Organization Name:SUNFLOWER HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:CERVERA SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-440-4100
Mailing Address - Street 1:3413 GATEWAY BLVD W
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-4412
Mailing Address - Country:US
Mailing Address - Phone:915-440-4100
Mailing Address - Fax:915-228-9311
Practice Address - Street 1:3413 GATEWAY BLVD W
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-4412
Practice Address - Country:US
Practice Address - Phone:915-440-4100
Practice Address - Fax:915-228-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health