Healthcare Provider Details

I. General information

NPI: 1083582910
Provider Name (Legal Business Name): SUNSAGE HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8071 CIMARRON MEADOWS WAY
LAS VEGAS NV
89147-5054
US

IV. Provider business mailing address

8071 CIMARRON MEADOWS WAY
LAS VEGAS NV
89147-5054
US

V. Phone/Fax

Practice location:
  • Phone: 725-772-1452
  • Fax:
Mailing address:
  • Phone: 725-772-1452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: YETMGETA ABATE
Title or Position: OWNER
Credential:
Phone: 240-467-4755