Provider Demographics
NPI:1770243982
Name:HOME SWEET HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:HOME SWEET HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-851-8366
Mailing Address - Street 1:500 HARVEY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3321
Mailing Address - Country:US
Mailing Address - Phone:603-851-8366
Mailing Address - Fax:
Practice Address - Street 1:500 HARVEY RD STE 103
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3321
Practice Address - Country:US
Practice Address - Phone:603-851-8366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care