Provider Demographics
NPI:1467163873
Name:SUNSHINE COMMUNITY SERVICES LLC
Entity Type:Organization
Organization Name:SUNSHINE COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAJORITY MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VALENA
Authorized Official - Middle Name:SACHEEN
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:740-835-7887
Mailing Address - Street 1:856 HOWARD RD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9427
Mailing Address - Country:US
Mailing Address - Phone:740-835-7887
Mailing Address - Fax:
Practice Address - Street 1:856 HOWARD RD
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9427
Practice Address - Country:US
Practice Address - Phone:740-835-7887
Practice Address - Fax:740-858-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty