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General NPI Number Information
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NPI Number | 1487442232
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Entity Type | Organization
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Legal Business Name | SUNSHINE HEALTHCARE LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 617 8TH AVE NW UNIT 128
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-4149
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Country | US
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Telephone | 346-724-7396
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Fax |
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Provider Business Mailing Address
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Address Line | 617 8TH AVE NW UNIT 128
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-4149
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Country | US
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Telephone | 346-724-7396
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | EYITAYO OJAGBOHUNMI
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Credential |
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Telephone | 346-724-7396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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