Healthcare Provider Details

I. General information

NPI: 1942816608
Provider Name (Legal Business Name): SUNSHINE IN HOME CARE AND ASSISTANCE LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5583 ROSEBROOK WAY
MASON OH
45040-5777
US

IV. Provider business mailing address

5583 ROSEBROOK WAY
MASON OH
45040-5777
US

V. Phone/Fax

Practice location:
  • Phone: 513-754-2363
  • Fax:
Mailing address:
  • Phone: 513-754-2363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMILY WEI
Title or Position: OWNER
Credential:
Phone: 513-885-1827