MEDICARE: SUNSHINE HOME CARE, INC.

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	251E00000X	Home Health Agency	1010246	IL

General Provider Information

NPI Number	:	1124044276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE HOME CARE, INC.

Provider Business Mailing Address
First Line	:	5411 W ADDISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-3203
Country	:	US
Telephone Number	:	708-456-3055
Fax Number	:	708-456-3319

Provider Business Practice Location Address
First Line	:	5411 W ADDISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-3203
Country	:	US
Telephone Number	:	708-456-3055
Fax Number	:	708-456-3319

Authorized Official
Title or Position	:	GEN.MANAGER/OWNER
Name	:	CHRISTINE YU
Credential	:	R.N.
Telephone Number	:	708-456-3055

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	02/09/2021

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Directions to “SUNSHINE HOME CARE, INC. ” Practice Location

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