MEDICARE: SUNSHINE HOME HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HCO-13596	VA

General Provider Information

NPI Number	:	1205183043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	5510 CHEROKEE AVE STE 150
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-658-1616
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 CHEROKEE AVE STE 150
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-658-1616
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ASIYA AFTAB
Credential	:
Telephone Number	:	703-658-1616

Provider Enumeration Date	:	08/11/2012
Last Update Date	:	11/12/2020

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