Provider Demographics
NPI:1588215198
Name:SUNSHINE TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:SUNSHINE TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAGBONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-335-7511
Mailing Address - Street 1:3600 WILKINSON BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5539
Mailing Address - Country:US
Mailing Address - Phone:980-335-7511
Mailing Address - Fax:
Practice Address - Street 1:3600 WILKINSON BLVD STE C
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5539
Practice Address - Country:US
Practice Address - Phone:980-335-7511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)