Provider Demographics
NPI:1457795528
Name:SUNSHINE CARE SERVICES
Entity type:Organization
Organization Name:SUNSHINE CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVENCIO
Authorized Official - Middle Name:MACABEO
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:808-397-0878
Mailing Address - Street 1:2604 FAIRBANKS ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2824
Mailing Address - Country:US
Mailing Address - Phone:907-222-7850
Mailing Address - Fax:
Practice Address - Street 1:2604 FAIRBANKS ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501
Practice Address - Country:US
Practice Address - Phone:907-222-7850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK0000000251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare