Provider Demographics
NPI:1861091787
Name:SUNSHINESBLESSINGSHEALTHCARE
Entity type:Organization
Organization Name:SUNSHINESBLESSINGSHEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TANGEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:LENOIR
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:901-562-9195
Mailing Address - Street 1:680 MCCONNELL ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-1822
Mailing Address - Country:US
Mailing Address - Phone:901-562-9195
Mailing Address - Fax:
Practice Address - Street 1:680 MCCONNELL ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-1822
Practice Address - Country:US
Practice Address - Phone:901-562-9195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No282E00000XHospitalsLong Term Care Hospital
No282NC2000XHospitalsGeneral Acute Care HospitalChildren
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient