Provider Demographics
NPI:1134655939
Name:SWEET HOME CARE LLC
Entity Type:Organization
Organization Name:SWEET HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADESUWA
Authorized Official - Middle Name:SWEET
Authorized Official - Last Name:AIBANGBEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-543-5925
Mailing Address - Street 1:860 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-2303
Mailing Address - Country:US
Mailing Address - Phone:203-543-5925
Mailing Address - Fax:
Practice Address - Street 1:860 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-2303
Practice Address - Country:US
Practice Address - Phone:203-543-5925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0001292251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health