Provider Demographics
NPI:1942085683
Name:SUNSHINE HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:SUNSHINE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:ZENORA
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-265-6363
Mailing Address - Street 1:PO BOX 1502
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-1502
Mailing Address - Country:US
Mailing Address - Phone:434-265-6363
Mailing Address - Fax:919-339-4836
Practice Address - Street 1:107 SEAMAN ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3141
Practice Address - Country:US
Practice Address - Phone:434-265-6363
Practice Address - Fax:919-339-4836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health