Provider Demographics
NPI:1851082119
Name:SUNSHINE ATTENDANT SERVICES, LLC
Entity Type:Organization
Organization Name:SUNSHINE ATTENDANT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:CORDOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-595-9510
Mailing Address - Street 1:2922 HUMBERTO GARZA JR ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-1107
Mailing Address - Country:US
Mailing Address - Phone:956-595-9510
Mailing Address - Fax:833-566-6221
Practice Address - Street 1:2922 HUMBERTO GARZA JR ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-1107
Practice Address - Country:US
Practice Address - Phone:956-595-9510
Practice Address - Fax:833-566-6221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty