Provider Demographics
NPI:1720067523
Name:SUNLIGHT HOME CARE INC
Entity Type:Organization
Organization Name:SUNLIGHT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:MARINA
Authorized Official - Last Name:DE CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-220-0606
Mailing Address - Street 1:400 SW 107TH AVE
Mailing Address - Street 2:STE 404
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-8400
Mailing Address - Country:US
Mailing Address - Phone:305-220-0606
Mailing Address - Fax:305-220-1115
Practice Address - Street 1:400 SW 107TH AVE
Practice Address - Street 2:STE 404
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-8400
Practice Address - Country:US
Practice Address - Phone:305-220-0606
Practice Address - Fax:305-220-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108198Medicare ID - Type UnspecifiedPROVIDER NUMBER