Provider Demographics
NPI:1679092993
Name:SWEET HOME HELP CARE LLC
Entity Type:Organization
Organization Name:SWEET HOME HELP CARE LLC
Other - Org Name:SWEET HOME HEALTH CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:
Authorized Official - First Name:DARLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NICOLAS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:786-985-3585
Mailing Address - Street 1:1901 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-7021
Mailing Address - Country:US
Mailing Address - Phone:407-267-1246
Mailing Address - Fax:
Practice Address - Street 1:1901 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7021
Practice Address - Country:US
Practice Address - Phone:407-267-1246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========Medicaid
FL=========OtherN/A