Provider Demographics
NPI:1467700476
Name:SWEETFLOWERS HOME HEALTHCARE
Entity Type:Organization
Organization Name:SWEETFLOWERS HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:GOODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-253-9659
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35201-0901
Mailing Address - Country:US
Mailing Address - Phone:205-253-9659
Mailing Address - Fax:
Practice Address - Street 1:2031 LONGLEAF DR
Practice Address - Street 2:APT C
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-6285
Practice Address - Country:US
Practice Address - Phone:205-253-9659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health