Provider Demographics
NPI:1790287688
Name:SUNNY COMMUNITY HOME CARE, INC
Entity Type:Organization
Organization Name:SUNNY COMMUNITY HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SEUNG
Authorized Official - Middle Name:HEE
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-633-2685
Mailing Address - Street 1:1249M BLALOCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6424
Mailing Address - Country:US
Mailing Address - Phone:832-581-3461
Mailing Address - Fax:832-831-5942
Practice Address - Street 1:1249M BLALOCK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6424
Practice Address - Country:US
Practice Address - Phone:832-581-3461
Practice Address - Fax:832-831-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care