Healthcare Provider Details

I. General information

NPI: 1063417079
Provider Name (Legal Business Name): BUHLER SUNSHINE HOME, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S BUHLER RD
BUHLER KS
67522-8133
US

IV. Provider business mailing address

400 S BUHLER RD
BUHLER KS
67522-8133
US

V. Phone/Fax

Practice location:
  • Phone: 620-543-2251
  • Fax: 620-543-2328
Mailing address:
  • Phone: 620-543-2251
  • Fax: 620-543-2328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberN-078-009
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberN-078-009
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberN-078-009
License Number StateKS

VIII. Authorized Official

Name: NATHAN J SPENCER
Title or Position: ADMINISTRATOR
Credential:
Phone: 620-543-5686