Organization Active NPI

Sunny Sky Home Health Care LLC

  • Home Health Agency
  • Bloomington, MN
National Provider Identifier
1558077230
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNNY SKY HOME HEALTH CARE LLC
Practice address
4050 W 108TH St Apt 213
Bloomington, MN 55437-2984
Phone
(952) 923-5398
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Ayan Sharif Maye
Title
Manager-Owner
Phone
(952) 923-5398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4050 W 108TH St Apt 213
Bloomington, MN 55437-2984

Mailing address

4050 W 108TH St Apt 213
Bloomington, MN 55437-2984
Phone (952) 923-5398

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1558077230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W 108TH ST APT 213",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372984",
            "telephone_number": "952-923-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W 108TH ST APT 213",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372984",
            "telephone_number": "952-923-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SKY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "MAYE",
        "authorized_official_first_name": "AYAN",
        "authorized_official_middle_name": "SHARIF",
        "authorized_official_title_or_position": "MANAGER-OWNER",
        "authorized_official_telephone_number": "952-923-5398"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.