Provider Demographics
NPI:1992053763
Name:SUNFLOWER HOME CARE INC
Entity type:Organization
Organization Name:SUNFLOWER HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAREA DEL RISCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-412-7916
Mailing Address - Street 1:8752 NW 116TH TERR
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1971
Mailing Address - Country:US
Mailing Address - Phone:305-825-8933
Mailing Address - Fax:305-825-8933
Practice Address - Street 1:8752 NW 116TH TERR
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-1971
Practice Address - Country:US
Practice Address - Phone:305-825-8933
Practice Address - Fax:305-825-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000923200Medicaid