Healthcare Provider Details

I. General information

NPI: 1417877903
Provider Name (Legal Business Name): SUNSET COAST HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10895 CHALLENGE BLVD
LA MESA CA
91941-7244
US

IV. Provider business mailing address

4364 BONITA RD # 334
BONITA CA
91902-1421
US

V. Phone/Fax

Practice location:
  • Phone: 619-882-5003
  • Fax:
Mailing address:
  • Phone: 619-882-5003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: VANESSA NUNEZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 619-882-5003