Provider Demographics
NPI:1134735913
Name:HOME SWEET HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:HOME SWEET HOME HEALTH CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WENSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-877-4094
Mailing Address - Street 1:131 INCA TRL
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-1446
Mailing Address - Country:US
Mailing Address - Phone:540-877-4094
Mailing Address - Fax:
Practice Address - Street 1:131 INCA TRL
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-1446
Practice Address - Country:US
Practice Address - Phone:540-877-4094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty