Healthcare Provider Details

I. General information

NPI: 1104425750
Provider Name (Legal Business Name): SUNSHINE HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2020
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6161 BUSCH BLVD STE 60
COLUMBUS OH
43229-2548
US

IV. Provider business mailing address

6161 BUSCH BLVD STE 60
COLUMBUS OH
43229-2548
US

V. Phone/Fax

Practice location:
  • Phone: 614-804-1307
  • Fax:
Mailing address:
  • Phone: 614-804-1307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DEKA SHEIKH-HUSSEIN
Title or Position: CEO/ADMINISTRATIVE
Credential:
Phone: 614-804-1307