Provider Demographics
NPI:1730642281
Name:SUNSHINE HOSPICE AND PALLIATIVE CARE
Entity Type:Organization
Organization Name:SUNSHINE HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ELVIRA
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:PARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:510-938-0974
Mailing Address - Street 1:3575 SAN PABLO DAM ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94803-7203
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3575 SAN PABLO DAM ROAD SUITE 1
Practice Address - Street 2:
Practice Address - City:EL SOBRANTE
Practice Address - State:CA
Practice Address - Zip Code:94803-2703
Practice Address - Country:US
Practice Address - Phone:510-964-7833
Practice Address - Fax:510-217-9796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based