MEDICARE: YOU ARE MY SUNSHINE, 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	D8195M	MI

General Provider Information

NPI Number	:	1356693113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOU ARE MY SUNSHINE, LLC

Provider Business Mailing Address
First Line	:	29789 FAIRFAX ST
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2232
Country	:	US
Telephone Number	:	248-460-6240
Fax Number	:

Provider Business Practice Location Address
First Line	:	29789 FAIRFAX ST
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2232
Country	:	US
Telephone Number	:	248-460-6240
Fax Number	:

Authorized Official
Title or Position	:	OWNER/NURSING ASSISTANT
Name	:	CATHERINE SCOTT
Credential	:
Telephone Number	:	248-460-6240

Provider Enumeration Date	:	10/03/2012
Last Update Date	:	10/03/2012

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