Provider Demographics
NPI:1497922595
Name:SUNSHINE HOME CARE SERVICES
Entity Type:Organization
Organization Name:SUNSHINE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-392-2273
Mailing Address - Street 1:17399 HEIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-7092
Mailing Address - Country:US
Mailing Address - Phone:310-877-7043
Mailing Address - Fax:951-686-4786
Practice Address - Street 1:5563 RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-1717
Practice Address - Country:US
Practice Address - Phone:909-392-2273
Practice Address - Fax:951-686-4786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health