MEDICARE: SUNSHINE ASSISTED LIVING FACILITY

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1356273502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE ASSISTED LIVING FACILITY

Provider Business Mailing Address
First Line	:	9506 BILTMORE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-2924
Country	:	US
Telephone Number	:	240-945-6530
Fax Number	:

Provider Business Practice Location Address
First Line	:	9506 BILTMORE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-2924
Country	:	US
Telephone Number	:	240-945-6530
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. MITIKU WOLDEMARIAM
Credential	:
Telephone Number	:	240-945-6530

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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