Provider Demographics
NPI:1740628296
Name:SUNSET CAREGIVERS INC.
Entity type:Organization
Organization Name:SUNSET CAREGIVERS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:EARLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-852-5800
Mailing Address - Street 1:2965 ROLLING HILLS LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-6479
Mailing Address - Country:US
Mailing Address - Phone:407-852-5800
Mailing Address - Fax:
Practice Address - Street 1:2989 W STATE ROAD 434
Practice Address - Street 2:STE 400
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4463
Practice Address - Country:US
Practice Address - Phone:407-852-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4290237600000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL533738Medicaid