Provider Demographics
NPI:1225495591
Name:SUNSHINE NET LLC
Entity Type:Organization
Organization Name:SUNSHINE NET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:K
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:225-921-8003
Mailing Address - Street 1:PO BOX 392
Mailing Address - Street 2:
Mailing Address - City:BRUSLY
Mailing Address - State:LA
Mailing Address - Zip Code:70719-0392
Mailing Address - Country:US
Mailing Address - Phone:225-927-6995
Mailing Address - Fax:225-927-6755
Practice Address - Street 1:8431 GREENMOSS DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3101
Practice Address - Country:US
Practice Address - Phone:225-927-6995
Practice Address - Fax:225-927-6755
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BATON ROUGE COMMUTER SERVICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10667956#UAR93343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)