Provider Demographics
NPI:1477706711
Name:SUNSHINE GOLD CARE, INC
Entity Type:Organization
Organization Name:SUNSHINE GOLD CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REKBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-269-2399
Mailing Address - Street 1:1820 NE 163RD ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4801
Mailing Address - Country:US
Mailing Address - Phone:786-269-2399
Mailing Address - Fax:305-354-8400
Practice Address - Street 1:1820 NE 163RD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4801
Practice Address - Country:US
Practice Address - Phone:786-269-2399
Practice Address - Fax:305-354-8400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19966270251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health