Provider Demographics
NPI:1588476246
Name:SUNSHINE LONGEVITY SENIOR CARE INC
Entity type:Organization
Organization Name:SUNSHINE LONGEVITY SENIOR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA WEI
Authorized Official - Middle Name:
Authorized Official - Last Name:JIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-971-5367
Mailing Address - Street 1:14627 BEECH AVE APT C1
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2186
Mailing Address - Country:US
Mailing Address - Phone:718-816-0200
Mailing Address - Fax:
Practice Address - Street 1:14627 BEECH AVE APT C1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2186
Practice Address - Country:US
Practice Address - Phone:718-816-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home