Provider Demographics
NPI:1922686484
Name:SWEETHEARTS CARE NURSE REGISTRY LLC
Entity Type:Organization
Organization Name:SWEETHEARTS CARE NURSE REGISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-222-0283
Mailing Address - Street 1:3890 W COMMERCIAL BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3319
Mailing Address - Country:US
Mailing Address - Phone:954-520-7722
Mailing Address - Fax:954-827-2626
Practice Address - Street 1:3890 W COMMERCIAL BLVD STE 220
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33309-3319
Practice Address - Country:US
Practice Address - Phone:954-520-7722
Practice Address - Fax:954-827-2626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL112273100Medicaid