Provider Demographics
NPI:1255573713
Name:SUN HOME HEALTH CARE INC
Entity type:Organization
Organization Name:SUN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDISALAN
Authorized Official - Middle Name:ADEN
Authorized Official - Last Name:SABRIYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-573-4338
Mailing Address - Street 1:4552 MANOR BROOK DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3183
Mailing Address - Country:US
Mailing Address - Phone:507-573-4338
Mailing Address - Fax:507-289-2117
Practice Address - Street 1:4552 MANOR BROOK DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3183
Practice Address - Country:US
Practice Address - Phone:507-573-4338
Practice Address - Fax:507-289-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN342897251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health