Provider Demographics
NPI:1295001774
Name:SUNSHINE HOMECARE
Entity Type:Organization
Organization Name:SUNSHINE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUSHTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-595-5729
Mailing Address - Street 1:6905 LE HAVRE WAY
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-5407
Mailing Address - Country:US
Mailing Address - Phone:916-721-5650
Mailing Address - Fax:
Practice Address - Street 1:6905 LE HAVRE WAY
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-5407
Practice Address - Country:US
Practice Address - Phone:916-721-5650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA347002329310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility