Provider Demographics
NPI:1093990939
Name:SUN HAVEN HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:SUN HAVEN HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUYLER-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-349-6088
Mailing Address - Street 1:6175 SOM CENTER RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2965
Mailing Address - Country:US
Mailing Address - Phone:440-349-6088
Mailing Address - Fax:440-349-6090
Practice Address - Street 1:6175 SOM CENTER RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2965
Practice Address - Country:US
Practice Address - Phone:440-349-6088
Practice Address - Fax:440-349-6090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health