Healthcare Provider Details

I. General information

NPI: 1184531667
Provider Name (Legal Business Name): A SUNNY DAY HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10985 DUCKBILL RD
MORENO VALLEY CA
92557-4026
US

IV. Provider business mailing address

10985 DUCKBILL RD
MORENO VALLEY CA
92557-4026
US

V. Phone/Fax

Practice location:
  • Phone: 909-954-8744
  • Fax: 909-954-8744
Mailing address:
  • Phone: 909-954-8744
  • Fax: 909-954-8744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: MS. AFUA SERWAA BOAKYE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 909-954-8744