Provider Demographics
NPI:1366135972
Name:SILVERSUN HOME CARE
Entity type:Organization
Organization Name:SILVERSUN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YQUADEA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:888-338-8120
Mailing Address - Street 1:6200 STONERIDGE MALL RD STE 3117
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3242
Mailing Address - Country:US
Mailing Address - Phone:888-338-8120
Mailing Address - Fax:888-338-8120
Practice Address - Street 1:6200 STONERIDGE MALL RD STE 3117
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3242
Practice Address - Country:US
Practice Address - Phone:888-338-8120
Practice Address - Fax:888-338-8120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care