Provider Demographics
NPI:1710171426
Name:HOME SWEET HOME GROUP CARE
Entity Type:Organization
Organization Name:HOME SWEET HOME GROUP CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-843-9070
Mailing Address - Street 1:925 MORRIL HALL CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-4557
Mailing Address - Country:US
Mailing Address - Phone:775-843-9070
Mailing Address - Fax:775-324-7963
Practice Address - Street 1:3413 ALPLAND LN
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-6715
Practice Address - Country:US
Practice Address - Phone:775-843-9070
Practice Address - Fax:775-324-7963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4964AGC-0311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home