Provider Demographics
NPI:1942052923
Name:SUNSHINE ON THE GO NURSING, INC.
Entity Type:Organization
Organization Name:SUNSHINE ON THE GO NURSING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CARLECIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCBRYDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-456-4122
Mailing Address - Street 1:9131 PISCATAWAY RD STE 610
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2568
Mailing Address - Country:US
Mailing Address - Phone:301-456-4122
Mailing Address - Fax:888-875-9926
Practice Address - Street 1:9131 PISCATAWAY RD STE 610
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2568
Practice Address - Country:US
Practice Address - Phone:301-456-4122
Practice Address - Fax:888-875-9926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No333300000XSuppliersEmergency Response System Companies
No385H00000XRespite Care FacilityRespite Care