Provider Demographics
NPI:1346938206
Name:SWEET HOME HEALTH LLC
Entity Type:Organization
Organization Name:SWEET HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALDIVAR RICARDO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:813-756-2020
Mailing Address - Street 1:3235 W COLUMBUS DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1852
Mailing Address - Country:US
Mailing Address - Phone:813-756-2020
Mailing Address - Fax:813-308-3434
Practice Address - Street 1:3235 W COLUMBUS DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1852
Practice Address - Country:US
Practice Address - Phone:813-756-2020
Practice Address - Fax:813-308-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health