Provider Demographics
NPI:1780329821
Name:HOME SWEET HOMECARE SERVICES, LLC
Entity type:Organization
Organization Name:HOME SWEET HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-653-5718
Mailing Address - Street 1:118 N PEARL ST STE 105
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-3275
Mailing Address - Country:US
Mailing Address - Phone:600-653-5718
Mailing Address - Fax:855-380-3757
Practice Address - Street 1:118 N PEARL ST STE 105
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-3275
Practice Address - Country:US
Practice Address - Phone:600-653-5718
Practice Address - Fax:855-380-3757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health