Provider Demographics
NPI:1134952559
Name:SUNNY HOME HEALTH SERVICE
Entity type:Organization
Organization Name:SUNNY HOME HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-260-5074
Mailing Address - Street 1:4812 FREDERICK PIKE STE 101B
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-3835
Mailing Address - Country:US
Mailing Address - Phone:937-367-0929
Mailing Address - Fax:
Practice Address - Street 1:4812 FREDERICK PIKE STE 101B
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3835
Practice Address - Country:US
Practice Address - Phone:937-367-0929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health