Provider Demographics
NPI:1467063172
Name:SPARROW HOME CARE LLC
Entity Type:Organization
Organization Name:SPARROW HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:EMANUEL
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:RRT-NPS
Authorized Official - Phone:254-290-5361
Mailing Address - Street 1:3411 MARKET LOOP STE 108
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-2771
Mailing Address - Country:US
Mailing Address - Phone:254-831-3019
Mailing Address - Fax:254-831-3036
Practice Address - Street 1:3411 MARKET LOOP STE 108
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-2771
Practice Address - Country:US
Practice Address - Phone:254-290-5361
Practice Address - Fax:254-831-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2023-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies