Provider Demographics
NPI:1700107273
Name:SWEET P HOME CARE
Entity Type:Organization
Organization Name:SWEET P HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PRACTICAL NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:BAKARALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-344-2747
Mailing Address - Street 1:315 BEACH 46 STREET 1ST FLOOR
Mailing Address - Street 2:
Mailing Address - City:FARROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-1113
Mailing Address - Country:US
Mailing Address - Phone:646-344-2747
Mailing Address - Fax:
Practice Address - Street 1:16937 144TH RD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-5929
Practice Address - Country:US
Practice Address - Phone:718-978-7221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300392-1251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care