Provider Demographics
NPI:1801627682
Name:SOUZA, SEAN
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:SOUZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HOME MATTERS
Other - Middle Name:
Other - Last Name:CAREGIVING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DBA
Mailing Address - Street 1:7111 GARDEN GROVE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-4222
Mailing Address - Country:US
Mailing Address - Phone:562-848-2273
Mailing Address - Fax:
Practice Address - Street 1:7111 GARDEN GROVE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-4222
Practice Address - Country:US
Practice Address - Phone:562-848-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3047003893747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider