Provider Demographics
NPI:1265751622
Name:HOME SWEET HOMEHEALTH, LLC
Entity type:Organization
Organization Name:HOME SWEET HOMEHEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-475-3521
Mailing Address - Street 1:6000 WESTERN PL
Mailing Address - Street 2:SUITE 710
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-4607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8402 E INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-3204
Practice Address - Country:US
Practice Address - Phone:817-332-1126
Practice Address - Fax:817-441-1043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based