SUNSHINE GROUP HOME LLC NPI 1295348381

NPI Information

NPI: 1295348381
Provider Name: SUNSHINE GROUP HOME LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
CLIA Number: 24D2207229
Address: 125 MAGNOLIA AVE W
SAINT PAUL, MN
ZIP 55117
Phone: (612) 227-5643

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NPI Details

SUNSHINE GROUP HOME LLC is an assisted living facility in Saint Paul, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SUNSHINE GROUP HOME LLC NPI is 1295348381. The provider is registered as an organization entity type.

The provider's business location address is:

125 MAGNOLIA AVE W
SAINT PAUL, MN
ZIP 55117-916
Phone: (612) 227-5643

The provider's authorized official is Feisal Mohamed .
The authorized official title is Owner and has the following contact phone number (612) 229-8207.

The CLIA number assigned to this NPI record is 24D2207229 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2020 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	251E00000X	Home Health	No
2	332B00000X	Durable Medical Equipment & Medical Supplies	No
3	343900000X	Non-emergency Medical Transport (VAN)	No
4	310400000X	Assisted Living Facility	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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