Provider Demographics
NPI:1639900764
Name:SUNSET HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:SUNSET HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMPIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-323-7682
Mailing Address - Street 1:9622 MESA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-2031
Mailing Address - Country:US
Mailing Address - Phone:314-323-7682
Mailing Address - Fax:
Practice Address - Street 1:415 CHEZ PAREE DR STE B
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-3599
Practice Address - Country:US
Practice Address - Phone:314-323-7682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251J00000XAgenciesNursing Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty