Provider Demographics
NPI:1598489338
Name:SUNSET HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:SUNSET HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VANNESA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BERMUDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-520-6327
Mailing Address - Street 1:1301 SHILOH RD NW STE 850
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7156
Mailing Address - Country:US
Mailing Address - Phone:678-520-6327
Mailing Address - Fax:207-612-7984
Practice Address - Street 1:1301 SHILOH RD NW STE 850
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7156
Practice Address - Country:US
Practice Address - Phone:678-520-6327
Practice Address - Fax:207-612-7984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care