Provider Demographics
NPI:1528397874
Name:HOME SWEET HOME NURSING CARE INC
Entity Type:Organization
Organization Name:HOME SWEET HOME NURSING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAMONA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-647-7829
Mailing Address - Street 1:30287 E STATE HIGHWAY 51
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429-7677
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30287 E STATE HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429-7677
Practice Address - Country:US
Practice Address - Phone:918-647-7829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKHOSPICEOtherHOSPICE