Provider Demographics
NPI:1245781244
Name:MORNING SUN HOME CARE
Entity Type:Organization
Organization Name:MORNING SUN HOME CARE
Other - Org Name:MORNING SUN HOME CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:NURSING ASSISTANT
Authorized Official - Prefix:MISS
Authorized Official - First Name:AURORE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ONDONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-640-8827
Mailing Address - Street 1:406 WINTERTHUR CT
Mailing Address - Street 2:A
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3348
Mailing Address - Country:US
Mailing Address - Phone:301-625-3333
Mailing Address - Fax:301-625-3335
Practice Address - Street 1:406 WINTERTHUR CT
Practice Address - Street 2:A
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3348
Practice Address - Country:US
Practice Address - Phone:301-625-3333
Practice Address - Fax:301-625-3335
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARENT LBN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00158948310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDO535074085032OtherNURSING ASSISTANT