Provider Demographics
NPI:1427481076
Name:SUNSHINE ON THE GO NURSING, INC.
Entity type:Organization
Organization Name:SUNSHINE ON THE GO NURSING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBRYDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-862-0303
Mailing Address - Street 1:916 PRINCE ST STE 107
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3187
Mailing Address - Country:US
Mailing Address - Phone:301-456-4122
Mailing Address - Fax:888-875-9926
Practice Address - Street 1:916 PRINCE ST STE 107
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3187
Practice Address - Country:US
Practice Address - Phone:301-456-4122
Practice Address - Fax:703-712-8041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-19
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1871720391OtherNPI