Provider Demographics
NPI:1497925952
Name:SUNSHINE HOMECARE AND HOSPICE OF BUTTE COUNTY
Entity Type:Organization
Organization Name:SUNSHINE HOMECARE AND HOSPICE OF BUTTE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DPCS
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MS
Authorized Official - Phone:530-872-4262
Mailing Address - Street 1:7126 SKYWAY
Mailing Address - Street 2:STE. E
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-3271
Mailing Address - Country:US
Mailing Address - Phone:530-872-4262
Mailing Address - Fax:530-872-5708
Practice Address - Street 1:7126 SKYWAY
Practice Address - Street 2:STE. E
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-3271
Practice Address - Country:US
Practice Address - Phone:530-872-4262
Practice Address - Fax:530-872-5708
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME HEALTH CONSORTIUM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-8021Medicare PIN
CA05-1722Medicare PIN