MEDICARE: TEXAS SUNSHINE CARE HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251S00000X	Community/Behavioral Health Agency
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1992501589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS SUNSHINE CARE HOME LLC

Provider Business Mailing Address
First Line	:	10107 LOUETTA RD STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1574
Country	:	US
Telephone Number	:	404-542-7476
Fax Number	:

Provider Business Practice Location Address
First Line	:	10107 LOUETTA RD STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1574
Country	:	US
Telephone Number	:	404-542-7476
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABIMBOLA AYORINDE
Credential	:
Telephone Number	:	404-542-7476

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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Directions to “TEXAS SUNSHINE CARE HOME LLC ” Practice Location

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