Provider Demographics
NPI:1881397834
Name:SUNSHINE HOME CARE
Entity type:Organization
Organization Name:SUNSHINE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ESTER
Authorized Official - Last Name:DELA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-686-4327
Mailing Address - Street 1:2428 W WEST AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-3138
Mailing Address - Country:US
Mailing Address - Phone:714-686-4327
Mailing Address - Fax:714-525-1566
Practice Address - Street 1:2428 W WEST AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-3138
Practice Address - Country:US
Practice Address - Phone:714-686-4327
Practice Address - Fax:714-525-1566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility