Provider Demographics
NPI:1366103137
Name:SUNSET CARE CORP.
Entity type:Organization
Organization Name:SUNSET CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEIDANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-271-5275
Mailing Address - Street 1:799 E 150TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-4411
Mailing Address - Country:US
Mailing Address - Phone:347-271-5275
Mailing Address - Fax:347-271-5278
Practice Address - Street 1:799 E 150TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4411
Practice Address - Country:US
Practice Address - Phone:347-271-5275
Practice Address - Fax:347-271-5278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPENDINGMedicaid