Healthcare Provider Details

I. General information

NPI: 1568376630
Provider Name (Legal Business Name): SUNSHINE HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7205 BEASLEY RD
TAMPA FL
33615-2133
US

IV. Provider business mailing address

7205 BEASLEY RD
TAMPA FL
33615-2133
US

V. Phone/Fax

Practice location:
  • Phone: 813-360-8015
  • Fax:
Mailing address:
  • Phone: 813-360-8015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANY MENENDEZ
Title or Position: OWNER
Credential:
Phone: 813-360-8015