Provider Demographics
NPI:1265678031
Name:SUNLIGHT HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:SUNLIGHT HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GABRIELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-504-7815
Mailing Address - Street 1:2139 TAPO ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-3478
Mailing Address - Country:US
Mailing Address - Phone:805-504-7815
Mailing Address - Fax:
Practice Address - Street 1:2139 TAPO ST
Practice Address - Street 2:SUITE214
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-3478
Practice Address - Country:US
Practice Address - Phone:805-504-7815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health