NPI 1003702929

Sunshine Supportive Services

Organisation Respite Care Brooklyn Center, MN

Practice location

Address: 3207 67th Ave N, Brooklyn Center, MN 55429-1823
Phone: (612) 590-0154
Mailing address: 17119 72nd Ave N, Maple Grove, MN 55311-4565

Authorised official

Name: Elijah George Nyambane
Title: Owner/Ceo
Phone: (612) 590-0154

Registered specialties (4)

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003702929
Entity type: Organization
NPI issued: 16 Jun 2025
Record last updated: 16 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.