Provider Demographics
NPI:1780646869
Name:SUNSHINE HOMECARE INC.
Entity Type:Organization
Organization Name:SUNSHINE HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:P VASANTHAKUMARI
Authorized Official - Middle Name:S
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-235-1722
Mailing Address - Street 1:417 E TAMARACK RD STE C
Mailing Address - Street 2:
Mailing Address - City:ALTUS
Mailing Address - State:OK
Mailing Address - Zip Code:73521-1199
Mailing Address - Country:US
Mailing Address - Phone:580-477-2014
Mailing Address - Fax:580-477-2048
Practice Address - Street 1:417 E TAMARACK RD STE C
Practice Address - Street 2:
Practice Address - City:ALTUS
Practice Address - State:OK
Practice Address - Zip Code:73521-1199
Practice Address - Country:US
Practice Address - Phone:580-477-2014
Practice Address - Fax:580-477-2048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7114251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1086860001Medicare PIN
OK377487Medicare ID - Type UnspecifiedHOME HEALTH AGENCY