Provider Demographics
NPI:1881491520
Name:SUNLIFE HEALTH LLC
Entity type:Organization
Organization Name:SUNLIFE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MNGR
Authorized Official - Prefix:
Authorized Official - First Name:GISELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:IBANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-627-6761
Mailing Address - Street 1:7807 LONG POINT RD STE 370
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3825
Mailing Address - Country:US
Mailing Address - Phone:281-627-6761
Mailing Address - Fax:
Practice Address - Street 1:7807 LONG POINT RD STE 370
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3825
Practice Address - Country:US
Practice Address - Phone:281-627-6761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion