MEDICARE: SUNNY DAYS HOME CARE 2 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1467381020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY DAYS HOME CARE 2 LLC

Provider Business Mailing Address
First Line	:	1639 RYAN ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-5948
Country	:	US
Telephone Number	:	337-508-2018
Fax Number	:	337-508-2020

Provider Business Practice Location Address
First Line	:	1639 RYAN ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-5948
Country	:	US
Telephone Number	:	337-508-2018
Fax Number	:	337-508-2020

Authorized Official
Title or Position	:	OWNER
Name	:	KEBREYA BEN
Credential	:
Telephone Number	:	337-831-8171

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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