MEDICARE: SUNSHINE FAMILY SUPPORT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	NV20181307191	NV

General Provider Information

NPI Number	:	1104315837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE FAMILY SUPPORT SERVICES LLC

Provider Business Mailing Address
First Line	:	1810 E SAHARA AVE STE 112
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3707
Country	:	US
Telephone Number	:	702-738-6230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1785 E SAHARA AVE STE 340
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3717
Country	:	US
Telephone Number	:	702-433-0063
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JANETTE MARTINEZ
Credential	:
Telephone Number	:	702-738-6230

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	08/13/2024

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