Provider Demographics
NPI:1639423064
Name:SUNNY DAY HOME HEALTH
Entity Type:Organization
Organization Name:SUNNY DAY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINLEY-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-649-6791
Mailing Address - Street 1:1712 SAGEBRUSH RANCH WAY
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-6718
Mailing Address - Country:US
Mailing Address - Phone:702-649-6791
Mailing Address - Fax:
Practice Address - Street 1:1712 SAGEBRUSH RANCH WAY
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-6718
Practice Address - Country:US
Practice Address - Phone:702-649-6791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV530787923322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children