Provider Demographics
NPI:1982604203
Name:SUN HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:SUN HOME HEALTH SERVICES, INC.
Other - Org Name:SUN HOME HEALTH HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-473-7625
Mailing Address - Street 1:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:NORTHUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17857-0232
Mailing Address - Country:US
Mailing Address - Phone:570-473-8320
Mailing Address - Fax:
Practice Address - Street 1:61 DUKE ST
Practice Address - Street 2:
Practice Address - City:NORTHUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17857-1908
Practice Address - Country:US
Practice Address - Phone:570-473-8320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA153799251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
391901OtherCBC, KEYSTONE AND FED B/C
86914OtherGEISINGER HEALTH PLAN
1644OtherHIGHMARK BC/BS
PA01179931Medicaid
391537Medicare ID - Type UnspecifiedMEDICARE