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NPI Code Detail

MEDICARE: SUNNYBRIDGE HOME CARE LLC

MEDICARE: SUNNYBRIDGE HOME CARE 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1114880614
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNNYBRIDGE HOME CARE LLC
Provider Business Mailing Address
First Line : PO BOX 166
Second Line :
City : NEW CITY
State : NY
Zip : 10956-0166
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 E 1ST AVE FL 1
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-3792
Country : US
Telephone Number : 614-526-1313
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : CHAYA SHIPPER
Credential :
Telephone Number : 614-526-1313
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “SUNNYBRIDGE HOME CARE LLC ” Practice Location

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