Provider Demographics
NPI:1699577395
Name:SUNSHINE EXPRESS SERVICE
Entity type:Organization
Organization Name:SUNSHINE EXPRESS SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-519-4151
Mailing Address - Street 1:2715 PONCE-DE-LEON
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-7505
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2715 PONCE-DE-LEON
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75054-7505
Practice Address - Country:US
Practice Address - Phone:318-519-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)