Provider Demographics
NPI:1558077230
Name:SUNNY SKY HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:SUNNY SKY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYAN
Authorized Official - Middle Name:SHARIF
Authorized Official - Last Name:MAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-923-5398
Mailing Address - Street 1:4050 W 108TH ST APT 213
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2984
Mailing Address - Country:US
Mailing Address - Phone:952-923-5398
Mailing Address - Fax:
Practice Address - Street 1:4050 W 108TH ST APT 213
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2984
Practice Address - Country:US
Practice Address - Phone:952-923-5398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health