Provider Demographics
NPI:1699788976
Name:SUNSHINE HOMES
Entity type:Organization
Organization Name:SUNSHINE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-315-1140
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:NC
Mailing Address - Zip Code:27873-0018
Mailing Address - Country:US
Mailing Address - Phone:252-315-1140
Mailing Address - Fax:252-291-6266
Practice Address - Street 1:5006 ARCHERS RD NW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-8735
Practice Address - Country:US
Practice Address - Phone:252-243-3785
Practice Address - Fax:252-243-3785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-098-037251S00000X, 320800000X
NCMHL-098-087320600000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418260Medicaid
NC8301402Medicaid
NC7803319Medicaid
NC7804592Medicaid