Provider Demographics
NPI:1750186078
Name:SUNSHINE SENIOR CARE SERVICES
Entity type:Organization
Organization Name:SUNSHINE SENIOR CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLS
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAJEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-577-6824
Mailing Address - Street 1:1445 TOWN CENTER DR APT 1220
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-4222
Mailing Address - Country:US
Mailing Address - Phone:619-577-6824
Mailing Address - Fax:
Practice Address - Street 1:1445 TOWN CENTER DR APT 1220
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-4222
Practice Address - Country:US
Practice Address - Phone:619-577-6824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care