Provider Demographics
NPI:1700264488
Name:SUNSHINE HOUSE INC.
Entity type:Organization
Organization Name:SUNSHINE HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-743-7943
Mailing Address - Street 1:55 W YEW ST
Mailing Address - Street 2:
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235-1962
Mailing Address - Country:US
Mailing Address - Phone:920-743-7943
Mailing Address - Fax:920-743-4050
Practice Address - Street 1:55 W YEW ST
Practice Address - Street 2:
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-1962
Practice Address - Country:US
Practice Address - Phone:920-743-7943
Practice Address - Fax:920-743-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No347B00000XTransportation ServicesBus