Provider Demographics
NPI:1700327244
Name:SUNSHINE HOME CARE
Entity Type:Organization
Organization Name:SUNSHINE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-845-6957
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52004-0535
Mailing Address - Country:US
Mailing Address - Phone:563-581-5961
Mailing Address - Fax:
Practice Address - Street 1:2225 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-8448
Practice Address - Country:US
Practice Address - Phone:563-581-5961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care