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Organization
SUNNYSIDE AFH CARE LLC
Active
Organization
SUNNYSIDE AFH CARE LLC
Active
Parent organization
SUNNYSIDE AFH CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNNYSIDE AFH CARE LLC
Authorized official
CHARLES MAINA KIMANI (EXECUTIVE DIRECTOR)
(503) 510-7236
Entity
Organization
Contact information
Practice address
4393 INDIGO ST NE, SALEM, OR 97305-2137
(503) 510-7236
(503) 966-3990
Mailing address
4393 INDIGO ST NE, SALEM, OR 97305-2137
(503) 510-7236
(503) 966-3990
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
11/18/2025
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