Provider Demographics
NPI:1154826956
Name:SUNSHINE CAREGIVERS OF VOLUSIA COUNTY LLC
Entity Type:Organization
Organization Name:SUNSHINE CAREGIVERS OF VOLUSIA COUNTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-748-4480
Mailing Address - Street 1:1377 CHATFIELD PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6619
Mailing Address - Country:US
Mailing Address - Phone:407-748-4480
Mailing Address - Fax:407-479-3635
Practice Address - Street 1:464 SOTHEBY WAY
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-4900
Practice Address - Country:US
Practice Address - Phone:407-748-4480
Practice Address - Fax:407-479-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty