Healthcare Provider Details

I. General information

NPI: 1114849882
Provider Name (Legal Business Name): SUNSET ELITE HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 TL THREADGILL RD APT B3
CAMDEN AL
36726-4166
US

IV. Provider business mailing address

1101 TL THREADGILL RD APT B3
CAMDEN AL
36726-4166
US

V. Phone/Fax

Practice location:
  • Phone: 205-291-3225
  • Fax:
Mailing address:
  • Phone: 205-291-3225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ASHLEY MCCLOUD
Title or Position: OWNER
Credential: CNA, MAA
Phone: 205-535-4042