Organization Active NPI

Sunnyside Afh Care LLC

  • Home Health Agency
  • Salem, OR
National Provider Identifier
1619842135
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUNNYSIDE AFH CARE LLC
Practice address
4393 Indigo St NE
Salem, OR 97305-2137
Phone
(503) 510-7236
Fax
(503) 966-3990
NPI assigned
Oct 6, 2025
Organization subpart
Yes
Parent organization
SUNNYSIDE AFH CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Charles Maina KimaniNPI 1396519302
Title
Executive Director
Phone
(503) 510-7236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0000X
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4393 Indigo St NE
Salem, OR 97305-2137

Mailing address

4393 Indigo St NE
Salem, OR 97305-2137
Phone (503) 510-7236

National Provider Directory

National Provider Directory
Part of
Sunnyside Afh Care LLC

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": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1619842135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 INDIGO ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052137",
            "telephone_number": "503-510-7236",
            "fax_number": "503-966-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4393 INDIGO ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052137",
            "telephone_number": "503-510-7236",
            "fax_number": "503-966-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE AFH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNNYSIDE AFH CARE LLC",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "KIMANI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MAINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-510-7236"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.