Provider Demographics
NPI:1487859013
Name:SUNSHINE HOME HEALTH CARE OF SACRAMENTO LTD
Entity type:Organization
Organization Name:SUNSHINE HOME HEALTH CARE OF SACRAMENTO LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR DPCS
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NICODEMO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-564-5307
Mailing Address - Street 1:1600 SACRAMENTO INN WAY
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-3457
Mailing Address - Country:US
Mailing Address - Phone:916-564-5307
Mailing Address - Fax:916-564-5923
Practice Address - Street 1:1600 SACRAMENTO INN WAY
Practice Address - Street 2:SUITE 211
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-3457
Practice Address - Country:US
Practice Address - Phone:916-564-5307
Practice Address - Fax:916-564-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health