Provider Demographics
NPI:1568875128
Name:SUNSHINE HOME CARE SERVICES, LLC.
Entity Type:Organization
Organization Name:SUNSHINE HOME CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LIPING
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-210-8386
Mailing Address - Street 1:1208 LANSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1626
Mailing Address - Country:US
Mailing Address - Phone:732-762-3466
Mailing Address - Fax:215-259-3212
Practice Address - Street 1:1208 LANSDALE AVE
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1626
Practice Address - Country:US
Practice Address - Phone:732-762-3466
Practice Address - Fax:215-259-3212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA25623601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care