Provider Demographics
NPI:1891149761
Name:HOME SWEET CARE HOMES, INC.
Entity Type:Organization
Organization Name:HOME SWEET CARE HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR OF RECORD
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:T
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-507-2679
Mailing Address - Street 1:2654 DEERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1512
Mailing Address - Country:US
Mailing Address - Phone:510-507-2679
Mailing Address - Fax:510-432-4926
Practice Address - Street 1:1584 DIANDA DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-1951
Practice Address - Country:US
Practice Address - Phone:510-507-2679
Practice Address - Fax:510-432-4926
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOBILITY FITNESS TRAINING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA075601359310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility