Organization Active NPI

K and J Sunshine Home Health Care, Inc.

  • Home Health Agency
  • Pflugerville, TX
National Provider Identifier
1174570352
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 8, 2008

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 679734
Ownership
Proprietary
Certified
Nov 16, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
45D1056785K and J Sunshine Home Health Care Inc1101 Purple Martin Drive, Pflugerville, TX 78660Certificate of waiverJul 24, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Kenneth Dike Individual 5% Or Greater Direct Ownership InterestCfo May 15, 2006
W-2 Managing Employee May 15, 2006
Jane Adaobi Dike Individual 5% Or Greater Direct Ownership InterestDon 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.

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

Verify at the official NPI Registry.