Provider Demographics
NPI:1659167252
Name:SUNSHINE HILLS LLC
Entity type:Organization
Organization Name:SUNSHINE HILLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOUVENIR
Authorized Official - Middle Name:
Authorized Official - Last Name:NSHIMIYIMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-860-1703
Mailing Address - Street 1:4303 1ST AVE SW APT 302
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-4273
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4303 1ST AVE SW APT 302
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-4273
Practice Address - Country:US
Practice Address - Phone:602-860-1703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities