Healthcare Provider Details

I. General information

NPI: 1982887998
Provider Name (Legal Business Name): SUNSHINE IN HOME SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 02/29/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3159 FEE FEE RD SUITE 210
BRIDGETON MO
63044-3206
US

IV. Provider business mailing address

3159 FEE FEE RD SUITE 210
BRIDGETON MO
63044-3206
US

V. Phone/Fax

Practice location:
  • Phone: 314-298-9888
  • Fax: 314-298-9884
Mailing address:
  • Phone: 314-298-9888
  • Fax: 314-298-9884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC NEHIKHARE ODIGIE
Title or Position: DIRECTOR
Credential:
Phone: 314-298-9888