Active NPI
Sunshine Home Care, Inc.
- Home Health Agency
- Chicago, IL
National Provider Identifier
1124044276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010246
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- Aug 15, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2274452 | Sunshine Home Care, Inc | Certificate of waiver | Jan 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary Christine Pichel Yu | 5% Or Greater Direct Ownership Interest | 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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1295763704
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.