Provider Demographics
NPI:1073033825
Name:HOME SWEET HOME SENIOR CARE LLC
Entity Type:Organization
Organization Name:HOME SWEET HOME SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:THAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-655-5333
Mailing Address - Street 1:801 HEBRON PKWY APT 2302
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5021
Mailing Address - Country:US
Mailing Address - Phone:469-655-5333
Mailing Address - Fax:
Practice Address - Street 1:801 HEBRON PKWY APT 2302
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5021
Practice Address - Country:US
Practice Address - Phone:469-655-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care