Provider Demographics
NPI:1265020374
Name:SUNBURST HEALTHCARE STAFFING, LLC
Entity Type:Organization
Organization Name:SUNBURST HEALTHCARE STAFFING, LLC
Other - Org Name:SUNBURST HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:GARRARD
Authorized Official - Suffix:V
Authorized Official - Credentials:
Authorized Official - Phone:863-226-0358
Mailing Address - Street 1:505 ARIANA AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-4139
Mailing Address - Country:US
Mailing Address - Phone:863-226-0358
Mailing Address - Fax:
Practice Address - Street 1:505 ARIANA AVE
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-4139
Practice Address - Country:US
Practice Address - Phone:863-226-0358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care