Healthcare Provider Details

I. General information

NPI: 1629530027
Provider Name (Legal Business Name): SUNLIGHT HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20242 TARPON BAY LN
CYPRESS TX
77433-5177
US

IV. Provider business mailing address

20242 TARPON BAY LN
CYPRESS TX
77433-5177
US

V. Phone/Fax

Practice location:
  • Phone: 281-404-5548
  • Fax:
Mailing address:
  • Phone: 281-404-5548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EUNICE NYABOKE ARASA
Title or Position: ADMINISTRATOR/ DON
Credential: RN
Phone: 281-404-5548