Provider Demographics
NPI:1710209887
Name:SUN CARE LLC
Entity Type:Organization
Organization Name:SUN CARE LLC
Other - Org Name:PALM BEACH HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERZHERITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-458-4717
Mailing Address - Street 1:4722 NW 2ND AVE STE C108
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4167
Mailing Address - Country:US
Mailing Address - Phone:561-210-7233
Mailing Address - Fax:561-206-0515
Practice Address - Street 1:4722 NW 2ND AVE STE C108
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4167
Practice Address - Country:US
Practice Address - Phone:561-210-7233
Practice Address - Fax:561-206-0515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008907400Medicaid