Provider Demographics
NPI:1518213958
Name:SWEET HOME HOME CARE, L.L.C.
Entity Type:Organization
Organization Name:SWEET HOME HOME CARE, L.L.C.
Other - Org Name:SOUTHWEST INTERPRETING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERREIEA
Authorized Official - Middle Name:ROSETTA
Authorized Official - Last Name:REINER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:701-318-2814
Mailing Address - Street 1:124 3RD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:MN
Mailing Address - Zip Code:56175-1271
Mailing Address - Country:US
Mailing Address - Phone:701-318-2814
Mailing Address - Fax:
Practice Address - Street 1:124 3RD ST STE 2
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:MN
Practice Address - Zip Code:56175-1271
Practice Address - Country:US
Practice Address - Phone:701-318-2814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA577148000Medicaid