Healthcare Provider Details

I. General information

NPI: 1699788976
Provider Name (Legal Business Name): SUNSHINE HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5006 ARCHERS RD NW
WILSON NC
27896-8735
US

IV. Provider business mailing address

PO BOX 18
SARATOGA NC
27873-0018
US

V. Phone/Fax

Practice location:
  • Phone: 252-243-3785
  • Fax: 252-243-3785
Mailing address:
  • Phone: 252-315-1140
  • Fax: 252-291-6266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License NumberMHL-098-087
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberMHL-098-037
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberMHL-098-087
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-098-037
License Number StateNC

VIII. Authorized Official

Name: MRS. LORRAINE ANDERSON BEST
Title or Position: ADMINISTRATOR
Credential:
Phone: 252-315-1140