Provider Demographics
NPI:1356792329
Name:SUNSHINE QUALITY HEALTHCARE, LLC
Entity type:Organization
Organization Name:SUNSHINE QUALITY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SOLANGE
Authorized Official - Middle Name:
Authorized Official - Last Name:NANA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-350-6964
Mailing Address - Street 1:17945 CURTIS DR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2418
Mailing Address - Country:US
Mailing Address - Phone:703-350-6964
Mailing Address - Fax:
Practice Address - Street 1:17945 CURTIS DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2418
Practice Address - Country:US
Practice Address - Phone:703-350-6964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-161360251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health