Provider Demographics
NPI:1801437009
Name:SUNNY DAYS HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:SUNNY DAYS HOME HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-386-5252
Mailing Address - Street 1:174 CLARKSON RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2258
Mailing Address - Country:US
Mailing Address - Phone:636-386-5252
Mailing Address - Fax:636-386-5252
Practice Address - Street 1:174 CLARKSON RD STE 150
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2258
Practice Address - Country:US
Practice Address - Phone:636-386-5252
Practice Address - Fax:636-386-5252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0505Medicaid