Healthcare Provider Details

I. General information

NPI: 1588476246
Provider Name (Legal Business Name): SUNSHINE LONGEVITY SENIOR CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14627 BEECH AVE APT C1
FLUSHING NY
11355-2186
US

IV. Provider business mailing address

14627 BEECH AVE APT C1
FLUSHING NY
11355-2186
US

V. Phone/Fax

Practice location:
  • Phone: 718-816-0200
  • Fax:
Mailing address:
  • Phone: 718-816-0200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA WEI JIANG
Title or Position: PRESIDENT
Credential:
Phone: 347-971-5367