Organization Active NPI

Sunshine Home Care, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1124044276
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010246 Issued in IL
Legal business name
SUNSHINE HOME CARE, INC.
Practice address
5411 W Addison St
Chicago, IL 60641-3203
Phone
(708) 456-3055
Fax
(708) 456-3319
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Christine Yu, R.N.
Title
Gen.Manager/Owner
Phone
(708) 456-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010246 IL Primary

Addresses

Primary practice location

5411 W Addison St
Chicago, IL 60641-3203

Mailing address

5411 W Addison St
Chicago, IL 60641-3203
Phone (708) 456-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000473 IL Part A Provider - Home Health Agency 5991615155 Practice locations: Chicago, IL

Home health agency certification: CCN 147745

Legal name
SUNSHINE HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 15, 2003
Last certification
Nov 30, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 22, 2003 in IL
Enrollment address
5411 W Addison St
Chicago, IL 60641-3203

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sunshine Home Care, IncCCN 147745
Ownership
Proprietary
Certified
Aug 15, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2274452Sunshine Home Care, Inc5411 W Addison St, Chicago, IL 60641Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

Locations

5411 W Addison St
Chicago, IL 60641
Phone (708) 456-3055

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary Christine Pichel Yu Individual 5% Or Greater Direct Ownership InterestPresident/Administrator Sep 17, 2018 100%
W-2 Managing Employee Jan 22, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1124044276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413203",
            "telephone_number": "708-456-3055",
            "fax_number": "708-456-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413203",
            "telephone_number": "708-456-3055",
            "fax_number": "708-456-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "GEN.MANAGER/OWNER",
        "authorized_official_telephone_number": "708-456-3055",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.