Provider Demographics
NPI:1649773953
Name:SUNNY HOME CARE
Entity Type:Organization
Organization Name:SUNNY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAHI
Authorized Official - Middle Name:SAID
Authorized Official - Last Name:SHABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-867-9699
Mailing Address - Street 1:PO BOX 30974
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37930-0974
Mailing Address - Country:US
Mailing Address - Phone:612-867-9699
Mailing Address - Fax:612-354-2182
Practice Address - Street 1:9172 DUNBARTON CT
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-3767
Practice Address - Country:US
Practice Address - Phone:612-867-9699
Practice Address - Fax:612-354-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care