MEDICARE: HEALING SUN RAYS INC., A PROFESSIONAL NURSING CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WW0000X	Wound Care Registered Nurse
2	171400000X	Health & Wellness Coach
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1184571762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING SUN RAYS INC., A PROFESSIONAL NURSING CORPORATION

Provider Business Mailing Address
First Line	:	6104 BRENTWOOD AVE
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93536-1790
Country	:	US
Telephone Number	:	662-996-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6104 BRENTWOOD AVE
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93536-1790
Country	:	US
Telephone Number	:	662-996-7800
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RENADA J NASH
Credential	:	FNP
Telephone Number	:	662-996-7800

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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