MEDICARE: SUNSHINE HOME HEALTH CARE OF SAN DIEGO, LTD

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

General Provider Information

NPI Number	:	1346419868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE HOME HEALTH CARE OF SAN DIEGO, LTD

Provider Business Mailing Address
First Line	:	16486 BERNARDO CENTER DR
Second Line	:	SUITE 338
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2518
Country	:	US
Telephone Number	:	858-592-0301
Fax Number	:

Provider Business Practice Location Address
First Line	:	16486 BERNARDO CENTER DR
Second Line	:	SUITE 338
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2518
Country	:	US
Telephone Number	:	858-592-0301
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MEHREEN HUSSAIN
Credential	:
Telephone Number	:	858-592-9391

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	02/28/2008

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