Provider Demographics
NPI:1346960747
Name:SWEET VIRGINIA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:SWEET VIRGINIA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIKOS
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-577-9444
Mailing Address - Street 1:15250 COLONY PL APT 108
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4955
Mailing Address - Country:US
Mailing Address - Phone:540-577-9444
Mailing Address - Fax:
Practice Address - Street 1:15250 COLONY PL APT 108
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-4955
Practice Address - Country:US
Practice Address - Phone:540-577-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health