Sunshine Extended Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

060000769 Issued in CA

Legal business name

SUNSHINE EXTENDED SERVICES, INC.

Practice address

2501 La Habra Blvd
Suite 4
La Habra, CA 90631-4368

Phone

(562) 691-3573

Fax

(562) 691-3892

NPI assigned

Jan 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Juan P Lopez, LVN

Title

Staff Accountant

Phone

(562) 691-3573

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1063559151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LA HABRA BLVD",
            "address_2": "SUITE 4",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314368",
            "telephone_number": "562-691-3573",
            "fax_number": "562-691-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LA HABRA BLVD",
            "address_2": "SUITE 4",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314368",
            "telephone_number": "562-691-3573",
            "fax_number": "562-691-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE EXTENDED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "STAFF ACCOUNTANT",
        "authorized_official_telephone_number": "562-691-3573",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "060000769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08098F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in La Habra, CA
• Providers in La Habra, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.