=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265229009
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUNFLOWER HOME CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2025
-----------------------------------------------------
Last Update Date | 04/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1201 PACIFIC AVE STE 600
-----------------------------------------------------
City | TACOMA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98402-4384
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-525-7079
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11237 BORGEN LOOP
-----------------------------------------------------
City | GIG HARBOR
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98332-5712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-358-0937
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SOYEON LEE JANZING
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 253-358-0937
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------