Sunshine Supportive Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUNSHINE SUPPORTIVE SERVICES

Practice address

3207 67TH Ave N
Brooklyn Center, MN 55429-1823

Phone

(612) 590-0154

NPI assigned

Sep 24, 2025

Organization subpart

No

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

Authorized official

Name

Elijah George Nyambane

Title

Directo

Phone

(612) 590-0154

Specialties & licenses 2

Addresses

Tax ID family

Sunshine Supportive Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sunshine Supportive Services

  • Respite Care
  • Brooklyn Center, MN
  • NPI 1003702929
  NPD tax ID

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1770456089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17119 72ND AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114565",
            "telephone_number": "612-590-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 67TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291823",
            "telephone_number": "612-590-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "NYAMBANE",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTO",
        "authorized_official_telephone_number": "612-590-0154"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janae Sullivan
• Rye'Nise Sumrall
• Sun Pharmacy Inc
• Sunset Home Healthcare LLC
• Sunshine Supportive Services
• Supervalu Pharmacies Inc
• Supportive Living Services, Inc.
• Supportive Living Services, Inc.
• Supportive Living Services, Inc.
• Nathan Susman, LGSW

• Case Management Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.