Healthcare Provider Details

I. General information

NPI: 1467737668
Provider Name (Legal Business Name): SUNLIGHT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 CHAPEL AVE W STE 100
CHERRY HILL NJ
08002-1592
US

IV. Provider business mailing address

3001 CHAPEL AVE W STE 100
CHERRY HILL NJ
08002-1592
US

V. Phone/Fax

Practice location:
  • Phone: 856-780-4000
  • Fax: 856-793-7885
Mailing address:
  • Phone: 856-780-4000
  • Fax: 856-793-7885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0158600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHP0158600
License Number StateNJ

VIII. Authorized Official

Name: VANCE PROPATI
Title or Position: PRESIDENT
Credential: MSEE, MBA
Phone: 856-780-4000