Healthcare Provider Details
I. General information
NPI: 1639900764
Provider Name (Legal Business Name): SUNSET HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2024
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3431 BRIDGELAND DR STE J
BRIDGETON MO
63044-2648
US
IV. Provider business mailing address
9622 MESA DR
SAINT LOUIS MO
63132-2031
US
V. Phone/Fax
- Phone: 314-724-9453
- Fax:
- Phone: 314-724-9453
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TAMIRA
DAMPIER
Title or Position: OWNER/MANAGER
Credential:
Phone: 314-724-9453