Provider Demographics
NPI:1457111767
Name:SIERRA SUNSHINE CARE
Entity Type:Organization
Organization Name:SIERRA SUNSHINE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-259-8146
Mailing Address - Street 1:4503 CALLE DE VIDA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-2303
Mailing Address - Country:US
Mailing Address - Phone:657-259-8146
Mailing Address - Fax:
Practice Address - Street 1:1355 HACIENDA DR
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1323
Practice Address - Country:US
Practice Address - Phone:619-663-0365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility