Provider Demographics
NPI:1528660040
Name:SUNNYBATO HOME HEALTH CARE PROVIDER SERVICES LLC
Entity type:Organization
Organization Name:SUNNYBATO HOME HEALTH CARE PROVIDER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-974-8089
Mailing Address - Street 1:19223 QUARRY LAKES LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5759
Mailing Address - Country:US
Mailing Address - Phone:281-974-8089
Mailing Address - Fax:281-974-8089
Practice Address - Street 1:19223 QUARRY LAKES LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5759
Practice Address - Country:US
Practice Address - Phone:281-974-8089
Practice Address - Fax:281-974-8089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health