Provider Demographics
NPI:1346562683
Name:HOME SWEET HOME PERSONAL CARE SERVICES INC.
Entity Type:Organization
Organization Name:HOME SWEET HOME PERSONAL CARE SERVICES INC.
Other - Org Name:HOME SWEET HOME BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KYM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-560-0623
Mailing Address - Street 1:PO BOX 11603
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70562-1603
Mailing Address - Country:US
Mailing Address - Phone:337-560-0623
Mailing Address - Fax:337-560-0624
Practice Address - Street 1:452 E SAINT PETER STREET
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560
Practice Address - Country:US
Practice Address - Phone:337-560-0623
Practice Address - Fax:337-560-0624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty