Healthcare Provider Details

I. General information

NPI: 1750947750
Provider Name (Legal Business Name): THE SUNSHINE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 E 221ST ST
EUCLID OH
44117-1508
US

IV. Provider business mailing address

1561 E 221ST ST
EUCLID OH
44117-1508
US

V. Phone/Fax

Practice location:
  • Phone: 216-287-2113
  • Fax: 330-998-6818
Mailing address:
  • Phone: 216-287-2113
  • Fax: 330-998-6818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: ERICA DICKENSON-TOMLINSON
Title or Position: CEO
Credential:
Phone: 216-287-2113