Provider Demographics
NPI:1609758341
Name:SUNSHINE SENIOR, LLC
Entity type:Organization
Organization Name:SUNSHINE SENIOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:ZOE
Authorized Official - Last Name:VECELLIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-618-6937
Mailing Address - Street 1:2405 SCHOFIELD AVE.
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WESTON
Mailing Address - State:WI
Mailing Address - Zip Code:54476-5583
Mailing Address - Country:US
Mailing Address - Phone:715-618-6937
Mailing Address - Fax:
Practice Address - Street 1:2405 SCHOFIELD AVE.
Practice Address - Street 2:SUITE 120
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-5583
Practice Address - Country:US
Practice Address - Phone:715-618-6937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care