Provider Demographics
NPI:1023120128
Name:SUNSHINE HEALTH CARE SERVICES INC.
Entity type:Organization
Organization Name:SUNSHINE HEALTH CARE SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR&SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:NEEL
Authorized Official - Last Name:STRONG
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:440-593-6266
Mailing Address - Street 1:22 PARRISH RD
Mailing Address - Street 2:
Mailing Address - City:CONNEAUT
Mailing Address - State:OH
Mailing Address - Zip Code:44030-1178
Mailing Address - Country:US
Mailing Address - Phone:440-593-6266
Mailing Address - Fax:440-593-6203
Practice Address - Street 1:22 PARRISH RD
Practice Address - Street 2:
Practice Address - City:CONNEAUT
Practice Address - State:OH
Practice Address - Zip Code:44030-1178
Practice Address - Country:US
Practice Address - Phone:440-593-6266
Practice Address - Fax:440-593-6203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1716314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0420655Medicaid
OH0420655Medicaid
OH1117270001Medicare NSC