Provider Demographics
NPI:1013574755
Name:SUGAR HILL AT HOME, LLC
Entity Type:Organization
Organization Name:SUGAR HILL AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-441-5082
Mailing Address - Street 1:66 WEST ST STE L1
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5790
Mailing Address - Country:US
Mailing Address - Phone:413-499-0585
Mailing Address - Fax:
Practice Address - Street 1:66 WEST ST STE L1
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5790
Practice Address - Country:US
Practice Address - Phone:413-499-0585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care