MEDICARE: SUNSHINE LIVING HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	251X00000X	Supports Brokerage Agency
3	251S00000X	Community/Behavioral Health Agency
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1326713082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE LIVING HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	6413 SHASTA TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-4432
Country	:	US
Telephone Number	:	817-966-7656
Fax Number	:

Provider Business Practice Location Address
First Line	:	6413 SHASTA TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-4432
Country	:	US
Telephone Number	:	817-966-7656
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CANDICE BRENDA WILLIAMS
Credential	:	MS
Telephone Number	:	817-966-7656

Provider Enumeration Date	:	08/13/2021
Last Update Date	:	12/15/2025

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