MEDICARE: SUNSHINE HOME HEALTH AGENCY SERVICES 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	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1790132876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE HOME HEALTH AGENCY SERVICES INC.

Provider Business Mailing Address
First Line	:	250 NE 48TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-3136
Country	:	US
Telephone Number	:	786-320-3328
Fax Number	:	786-364-7317

Provider Business Practice Location Address
First Line	:	250 NE 48TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-3136
Country	:	US
Telephone Number	:	786-320-3328
Fax Number	:	786-364-7317

Authorized Official
Title or Position	:	CEO
Name	:	MR. DANIEL XAVIER
Credential	:
Telephone Number	:	786-320-3328

Provider Enumeration Date	:	05/19/2016
Last Update Date	:	05/19/2016

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