Organization Active NPI

Sunshine Home Health Care Inc

  • In Home Supportive Care Agency
  • Mount Gilead, NC
National Provider Identifier
1952922171
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUNSHINE HOME HEALTH CARE INC
Practice address
110 Roosevelt St Ste a
Mount Gilead, NC 27306-9606
Phone
(919) 535-4038
NPI assigned
Apr 28, 2020
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
M E Willis
Title
Ceo
Phone
(919) 535-4038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

110 Roosevelt St Ste a
Mount Gilead, NC 27306-9606

Mailing address

110 Roosevelt St Ste a
Mount Gilead, NC 27306-9606
Phone (919) 535-4038

Other identifiers 1

IdentifierTypeStateIssuer
HC5475OtherNCHOME HEALTH LICENSURE

National Provider Directory

National Provider Directory

Locations

110 Roosevelt St
Ste A
Mount Gilead, NC 27306
Phone (919) 535-4038

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1952922171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROOSEVELT ST STE A",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273069606",
            "telephone_number": "919-535-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROOSEVELT ST STE A",
            "city": "MOUNT GILEAD",
            "state": "NC",
            "postal_code": "273069606",
            "telephone_number": "919-535-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-535-4038"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSURE",
            "identifier": "HC5475",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.