Organization Active NPI

Sunshine Care Services Inc

  • In Home Supportive Care Agency
  • Saint Cloud, MN
National Provider Identifier
1326688417
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUNSHINE CARE SERVICES INC
Practice address
22 Wilson Ave NE Ste 15
Saint Cloud, MN 56304-0440
Phone
(320) 422-1628
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Authorized official

Name
Shukri Abdi
Title
Ceo
Phone
(414) 520-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

22 Wilson Ave NE Ste 15
Saint Cloud, MN 56304-0440

Mailing address

PO Box 602
Saint Cloud, MN 56302-0602
Phone (320) 422-1628

National Provider Directory

National Provider Directory

Locations

22 Wilson Ave NE
Ste 15
Saint Cloud, MN 56304
Phone (320) 422-1628

22 Wilson Ave NE
Ste 16
Saint Cloud, MN 56304

2719 W Division St
Ste 105
Saint Cloud, MN 56301

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594425600000",
    "number": "1326688417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563020602",
            "telephone_number": "320-422-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 15",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040440",
            "telephone_number": "320-422-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "SHUKRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-520-9611"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.