Provider Demographics
NPI:1164766754
Name:CM SUNSHINE HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:CM SUNSHINE HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MITSCH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-472-0233
Mailing Address - Street 1:8300 BROADWAY
Mailing Address - Street 2:SUITE H2
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8602
Mailing Address - Country:US
Mailing Address - Phone:219-472-0233
Mailing Address - Fax:219-472-0607
Practice Address - Street 1:8300 BROADWAY
Practice Address - Street 2:SUITE H2
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8602
Practice Address - Country:US
Practice Address - Phone:219-472-0233
Practice Address - Fax:219-472-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12-012985251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health