MEDICARE: SUNSHINE HOME HEALTH 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
1	251E00000X	Home Health Agency	1399	WA

General Provider Information

NPI Number	:	1528298262
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	10428 E 9TH AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-3510
Country	:	US
Telephone Number	:	509-321-9050
Fax Number	:

Provider Business Practice Location Address
First Line	:	10428 E 9TH AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-3510
Country	:	US
Telephone Number	:	509-321-9050
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CYNTHIA J SPEVACK
Credential	:
Telephone Number	:	509-321-9050

Provider Enumeration Date	:	07/15/2009
Last Update Date	:	03/28/2012

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