Provider Demographics
NPI:1881487924
Name:SUNNY HOME CARE SERVICES
Entity type:Organization
Organization Name:SUNNY HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TARIK
Authorized Official - Middle Name:A
Authorized Official - Last Name:GEBREMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-201-9045
Mailing Address - Street 1:3760 HILL AVE APT 167
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-2673
Mailing Address - Country:US
Mailing Address - Phone:567-201-9045
Mailing Address - Fax:
Practice Address - Street 1:3760 HILL AVE APT 167
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-2673
Practice Address - Country:US
Practice Address - Phone:567-201-9045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care