MEDICARE: SUNFLOWER CLHF, 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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1558998047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNFLOWER CLHF, INC.

Provider Business Mailing Address
First Line	:	1058 RUBERTA AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2105
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1058 RUBERTA AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2105
Country	:	US
Telephone Number	:	818-489-0062
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANI ARSENYAN
Credential	:
Telephone Number	:	818-489-0062

Provider Enumeration Date	:	03/24/2020
Last Update Date	:	03/24/2020

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