Healthcare Provider Details

I. General information

NPI: 1124574942
Provider Name (Legal Business Name): SUNNY DAYS IN-HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 CENTER CHURCH RD SUITE B
MC MURRAY PA
15317-3002
US

IV. Provider business mailing address

88 CENTER CHURCH RD SUITE B
MC MURRAY PA
15317-3002
US

V. Phone/Fax

Practice location:
  • Phone: 724-884-7356
  • Fax:
Mailing address:
  • Phone: 724-884-7356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number20763601
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JOHN EARL BENNETT III
Title or Position: DIRECTOR OF FRANCHISING
Credential:
Phone: 724-884-7356