Provider Demographics
NPI:1497050975
Name:SUNSHINE STATE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:SUNSHINE STATE HOME HEALTH CARE INC
Other - Org Name:CLOSE COMPANIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOFGREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-420-2457
Mailing Address - Street 1:101 GARLAND CIR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-5171
Mailing Address - Country:US
Mailing Address - Phone:727-420-2457
Mailing Address - Fax:727-784-4937
Practice Address - Street 1:101 GARLAND CIR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-5171
Practice Address - Country:US
Practice Address - Phone:727-420-2457
Practice Address - Fax:727-784-4937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231747251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health