Provider Demographics
NPI:1174046304
Name:SUNBEAM HEALTHCARE LLC
Entity Type:Organization
Organization Name:SUNBEAM HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-203-0707
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OK
Mailing Address - Zip Code:74020-0591
Mailing Address - Country:US
Mailing Address - Phone:918-203-0707
Mailing Address - Fax:
Practice Address - Street 1:1004 N BROADWAY ST STE E
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OK
Practice Address - Zip Code:74020-1241
Practice Address - Country:US
Practice Address - Phone:918-203-0707
Practice Address - Fax:918-358-8045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty