Provider Demographics
NPI:1396092821
Name:SUNSHINE REHAB PEDIATRIC HOME CARE
Entity type:Organization
Organization Name:SUNSHINE REHAB PEDIATRIC HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO/ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-399-8900
Mailing Address - Street 1:258 S SAM HOUSTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-3867
Mailing Address - Country:US
Mailing Address - Phone:956-399-8900
Mailing Address - Fax:
Practice Address - Street 1:258 S SAM HOUSTON BLVD
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-3867
Practice Address - Country:US
Practice Address - Phone:956-399-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNSHINE REHAB, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health