Provider Demographics
NPI:1790429397
Name:A RAY OF SUNSHINE HOME CARE LLC
Entity Type:Organization
Organization Name:A RAY OF SUNSHINE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENAE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:JUMPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-690-0977
Mailing Address - Street 1:14555 BRAMKRIST DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-6577
Mailing Address - Country:US
Mailing Address - Phone:317-690-0977
Mailing Address - Fax:
Practice Address - Street 1:14555 BRAMKRIST DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-6577
Practice Address - Country:US
Practice Address - Phone:317-690-0977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care