Provider Demographics
NPI:1003883307
Name:SUNSHINES NURSING HORIZONS INC
Entity Type:Organization
Organization Name:SUNSHINES NURSING HORIZONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NURSE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GEIL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN BC MS
Authorized Official - Phone:620-276-1787
Mailing Address - Street 1:2718 N CUMMINGS RD
Mailing Address - Street 2:SUITE W
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846
Mailing Address - Country:US
Mailing Address - Phone:620-276-1787
Mailing Address - Fax:620-275-9238
Practice Address - Street 1:2718 N CUMMINGS RD
Practice Address - Street 2:SUITE W
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846
Practice Address - Country:US
Practice Address - Phone:620-276-1787
Practice Address - Fax:620-275-9238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13051247-061363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS160994Medicaid
161339Medicare ID - Type UnspecifiedINDIVIDUAL
160994Medicare ID - Type Unspecified
KS160994Medicaid