Provider Demographics
NPI:1043863822
Name:GGE ENTERPRISES LLC SUNSHINE CARE HOME I&II
Entity Type:Organization
Organization Name:GGE ENTERPRISES LLC SUNSHINE CARE HOME I&II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EMELO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:702-336-1551
Mailing Address - Street 1:3045 S TIOGA WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3218
Mailing Address - Country:US
Mailing Address - Phone:702-631-9858
Mailing Address - Fax:702-929-3632
Practice Address - Street 1:3045 S TIOGA WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3218
Practice Address - Country:US
Practice Address - Phone:702-631-9858
Practice Address - Fax:702-929-3632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-20
Last Update Date:2019-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility