Provider Demographics
NPI:1922793942
Name:RAYS OF SUN HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:RAYS OF SUN HOME CARE AGENCY LLC
Other - Org Name:RAYS OF SUN HOME CARE AGENCY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-448-3100
Mailing Address - Street 1:612 SUNNYSIDE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:EAST PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15112-1140
Mailing Address - Country:US
Mailing Address - Phone:412-224-3386
Mailing Address - Fax:
Practice Address - Street 1:612 SUNNYSIDE AVE STE 1
Practice Address - Street 2:
Practice Address - City:EAST PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15112-1140
Practice Address - Country:US
Practice Address - Phone:412-224-3386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty