Provider Demographics
NPI:1992257174
Name:SUNSHINE TENDER HOMECARE CORPORATION
Entity type:Organization
Organization Name:SUNSHINE TENDER HOMECARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSHEELA
Authorized Official - Middle Name:KUMARI
Authorized Official - Last Name:CHANDMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-205-1060
Mailing Address - Street 1:3801 PURCELL DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3426
Mailing Address - Country:US
Mailing Address - Phone:972-205-1060
Mailing Address - Fax:972-881-0923
Practice Address - Street 1:3801 PURCELL DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3426
Practice Address - Country:US
Practice Address - Phone:972-205-1060
Practice Address - Fax:972-881-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017676253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care