Provider Demographics
NPI:1154621522
Name:SUNCITY HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:SUNCITY HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE DON
Authorized Official - Prefix:MR
Authorized Official - First Name:VARGHESE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-226-2640
Mailing Address - Street 1:11353 TOM ULOZAS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4720
Mailing Address - Country:US
Mailing Address - Phone:915-478-1738
Mailing Address - Fax:
Practice Address - Street 1:1359 LOMALAND DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-5201
Practice Address - Country:US
Practice Address - Phone:915-478-1738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health