Active NPI
K and J Sunshine Home Health Care, Inc.
- Home Health Agency
- Pflugerville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- K AND J SUNSHINE HOME HEALTH CARE, INC.
- Practice address
- 1101 Purple Martin Dr
Pflugerville, TX 78660-8018 - Phone
- (512) 990-8027
- Fax
- (512) 990-9958
- NPI assigned
- May 31, 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
- Mr. Kennneth Obiora Dike, MBA
- Title
- Financial Officer
- Phone
- (512) 825-2067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1101 Purple Martin Dr
Pflugerville, TX 78660-8018
Mailing address
1101 Purple Martin Dr
Pflugerville, TX 78660-8018
Phone (512) 990-8027
Other names 1
- none
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070424000148 | TX | Part A Provider - Home Health Agency | 8921011602 | Practice locations: Pflugerville, TX |
Home health agency certification: CCN 679734
- Legal name
- K AND J SUNSHINE HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 16, 2007
- Last certification
- Mar 22, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 15, 2006 in TX
- Enrollment address
- 1101 Purple Martin Dr
Pflugerville, TX 78660-8018
Care Compare: Home health agency
Medicare Care Compare- Listed as
- K and J Sunshine Home Health Care, Inc.
- Ownership
- Proprietary
- Certified
- Nov 16, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, 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 |
|---|---|---|---|
| 45D1056785 | K and J Sunshine Home Health Care Inc | Certificate of waiver | Jul 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
111 W Anderson Ln
#346A
Austin, TX 78752
Phone (512) 990-8027
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Kenneth Dike | 5% Or Greater Direct Ownership Interest | May 15, 2006 | |
| W-2 Managing Employee | May 15, 2006 | ||
| Jane Adaobi Dike | 5% Or Greater Direct Ownership Interest | May 15, 2006 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
- NPI 1952919599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1174570352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 PURPLE MARTIN DR",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786608018",
"telephone_number": "512-990-8027",
"fax_number": "512-990-9958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 PURPLE MARTIN DR",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786608018",
"telephone_number": "512-990-8027",
"fax_number": "512-990-9958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K AND J SUNSHINE HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "DIKE",
"authorized_official_first_name": "KENNNETH",
"authorized_official_middle_name": "OBIORA",
"authorized_official_title_or_position": "FINANCIAL OFFICER",
"authorized_official_telephone_number": "512-825-2067",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.