Provider Demographics
NPI:1669895736
Name:SUNFLOWER HOME CARE INC.
Entity type:Organization
Organization Name:SUNFLOWER HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TORO
Authorized Official - Suffix:
Authorized Official - Credentials:MPPA, CAC III
Authorized Official - Phone:720-390-5163
Mailing Address - Street 1:8933 WASHINGTON ST
Mailing Address - Street 2:SUITE #2
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4500
Mailing Address - Country:US
Mailing Address - Phone:720-390-5163
Mailing Address - Fax:720-390-5161
Practice Address - Street 1:6755 E 72ND AVE
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-2101
Practice Address - Country:US
Practice Address - Phone:720-390-5163
Practice Address - Fax:720-390-5161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
385H00000X
COACC.0007078174400000X
CO04K183253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO17673062Medicaid
CO26287871Medicaid