Provider Demographics
NPI:1104425750
Name:SUNSHINE HEALTH AGENCY LLC
Entity type:Organization
Organization Name:SUNSHINE HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:DEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH-HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-804-1307
Mailing Address - Street 1:7885 OAK ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-5038
Mailing Address - Country:US
Mailing Address - Phone:614-804-1307
Mailing Address - Fax:
Practice Address - Street 1:7885 OAK ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-5038
Practice Address - Country:US
Practice Address - Phone:614-804-1307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle