Provider Demographics
NPI:1700208931
Name:SWEET HOME SERVICES, LLC
Entity Type:Organization
Organization Name:SWEET HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JHOANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERARD
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:732-722-8368
Mailing Address - Street 1:195 LEHIGH ST
Mailing Address - Street 2:UNIT 12
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:732-722-8368
Mailing Address - Fax:732-722-8367
Practice Address - Street 1:195 LEHIGH AVE
Practice Address - Street 2:UNIT 12
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4555
Practice Address - Country:US
Practice Address - Phone:732-722-8368
Practice Address - Fax:732-722-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0111900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health