Healthcare Provider Details

I. General information

NPI: 1114880614
Provider Name (Legal Business Name): SUNNYBRIDGE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 E 1ST AVE FL 1
COLUMBUS OH
43201-3792
US

IV. Provider business mailing address

PO BOX 166
NEW CITY NY
10956-0166
US

V. Phone/Fax

Practice location:
  • Phone: 614-526-1313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHAYA SHIPPER
Title or Position: MEMBER
Credential:
Phone: 614-526-1313