Healthcare Provider Details

I. General information

NPI: 1134081755
Provider Name (Legal Business Name): SUNLIGHT GROUP, PBC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 W 5TH ST STE 2618C
LOS ANGELES CA
90071-2005
US

IV. Provider business mailing address

167 E CHATHAM ST STE 300
CARY NC
27511-3372
US

V. Phone/Fax

Practice location:
  • Phone: 410-960-7788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: KYLE SOBUS
Title or Position: CEO, SUNLIGHT HEALTH
Credential: RN
Phone: 410-960-7788