MEDICARE: SUNSHINE HOMECARE COLORADO SCORP

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1962103382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE HOMECARE COLORADO SCORP

Provider Business Mailing Address
First Line	:	15751 W EUREKA AVE
Second Line	:
City	:	MORRISON
State	:	CO
Zip	:	80465-1513
Country	:	US
Telephone Number	:	720-595-4418
Fax Number	:

Provider Business Practice Location Address
First Line	:	8425 W COLFAX AVE UNIT B
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-4008
Country	:	US
Telephone Number	:	720-595-4418
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	HUYEN NGOC DOAN
Credential	:
Telephone Number	:	720-595-4418

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	04/03/2026

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