Provider Demographics
NPI:1447474424
Name:THE SUN HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:THE SUN HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAYSHRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-362-5035
Mailing Address - Street 1:554 W CENTRAL AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1499
Mailing Address - Country:US
Mailing Address - Phone:740-362-5035
Mailing Address - Fax:669-981-8528
Practice Address - Street 1:554 W CENTRAL AVE STE 6
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1499
Practice Address - Country:US
Practice Address - Phone:740-362-5035
Practice Address - Fax:669-981-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2462259Medicaid
OH368036Medicare ID - Type Unspecified