Provider Demographics
NPI:1598752727
Name:SUNSHINE HOME HEALTH II, INC.
Entity Type:Organization
Organization Name:SUNSHINE HOME HEALTH II, INC.
Other - Org Name:SUNSHINE HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAVED
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-469-1000
Mailing Address - Street 1:4637 CHABOT DRIVE
Mailing Address - Street 2:SUITE # 240
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-2754
Mailing Address - Country:US
Mailing Address - Phone:925-469-1000
Mailing Address - Fax:925-469-1001
Practice Address - Street 1:4637 CHABOT DRIVE
Practice Address - Street 2:SUITE # 240
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2754
Practice Address - Country:US
Practice Address - Phone:925-469-1000
Practice Address - Fax:925-469-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA020000601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08099FMedicaid
CA058099Medicare Oscar/Certification