Provider Demographics
NPI:1760017578
Name:SETTING SUN CARE HOME
Entity Type:Organization
Organization Name:SETTING SUN CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADULT FAMILY HOME PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:H
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-558-7803
Mailing Address - Street 1:1992 COUNTY ROAD EE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:WI
Mailing Address - Zip Code:53502
Mailing Address - Country:US
Mailing Address - Phone:608-558-7803
Mailing Address - Fax:
Practice Address - Street 1:1992 COUNTY ROAD EE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:WI
Practice Address - Zip Code:53502
Practice Address - Country:US
Practice Address - Phone:608-558-7803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty