Provider Demographics
NPI:1467739292
Name:HOME SWEET HOME
Entity Type:Organization
Organization Name:HOME SWEET HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOTTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-337-2477
Mailing Address - Street 1:501 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PLATTE
Mailing Address - State:SD
Mailing Address - Zip Code:57369-2002
Mailing Address - Country:US
Mailing Address - Phone:605-337-2477
Mailing Address - Fax:605-337-2575
Practice Address - Street 1:501 E 3RD ST
Practice Address - Street 2:
Practice Address - City:PLATTE
Practice Address - State:SD
Practice Address - Zip Code:57369-2002
Practice Address - Country:US
Practice Address - Phone:605-337-2477
Practice Address - Fax:605-337-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD64077310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility