Provider Demographics
NPI: | 1619592599 |
---|---|
Name: | SUNNY SKIES HOMECARE LLC |
Entity Type: | Organization |
Organization Name: | SUNNY SKIES HOMECARE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TIFFANY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HAYES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 205-617-5100 |
Mailing Address - Street 1: | 1973 LINDEN DR |
Mailing Address - Street 2: | |
Mailing Address - City: | BIRMINGHAM |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 35214-4857 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 205-617-5100 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1973 LINDEN DR |
Practice Address - Street 2: | |
Practice Address - City: | BIRMINGHAM |
Practice Address - State: | AL |
Practice Address - Zip Code: | 35214-4857 |
Practice Address - Country: | US |
Practice Address - Phone: | 205-617-5100 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-06-16 |
Last Update Date: | 2020-06-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care | |
No | 174200000X | Other Service Providers | Meals | |
No | 347C00000X | Transportation Services | Private Vehicle | |
No | 385H00000X | Respite Care Facility | Respite Care |