Provider Demographics
NPI:1386632388
Name:HOME SWEET HOME PERSONAL CARE INC
Entity Type:Organization
Organization Name:HOME SWEET HOME PERSONAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DRAPIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-288-1995
Mailing Address - Street 1:210 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-2715
Mailing Address - Country:US
Mailing Address - Phone:570-288-1995
Mailing Address - Fax:570-288-1996
Practice Address - Street 1:210 DIVISION ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-2715
Practice Address - Country:US
Practice Address - Phone:570-288-1995
Practice Address - Fax:570-288-1996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0018742900002251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018742900002Medicaid