Provider Demographics
NPI:1922561240
Name:SUNSHINE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SUNSHINE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TSEHAI
Authorized Official - Middle Name:YOHANNES
Authorized Official - Last Name:ARAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-684-4393
Mailing Address - Street 1:11549 ABERDEEN DR
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-8932
Mailing Address - Country:US
Mailing Address - Phone:909-684-4393
Mailing Address - Fax:
Practice Address - Street 1:1254 S WATERMAN AVE STE 52
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-2859
Practice Address - Country:US
Practice Address - Phone:909-763-2487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)