Provider Demographics
NPI:1013033877
Name:SUNSHINE HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:SUNSHINE HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:MOHAMUD
Authorized Official - Last Name:ELMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-645-1449
Mailing Address - Street 1:1885 UNIVERSITY AVE W STE 36
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3403
Mailing Address - Country:US
Mailing Address - Phone:651-645-1449
Mailing Address - Fax:
Practice Address - Street 1:1885 UNIVERSITY AVE W STE 36
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3403
Practice Address - Country:US
Practice Address - Phone:651-645-1449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN851215-2251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health