Provider Demographics
NPI:1831932730
Name:SWIERCZEK HOME CARE LLC
Entity type:Organization
Organization Name:SWIERCZEK HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWIERCZEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-984-7844
Mailing Address - Street 1:26510 MANDERSON CT
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68064-4477
Mailing Address - Country:US
Mailing Address - Phone:720-984-7844
Mailing Address - Fax:
Practice Address - Street 1:26510 MANDERSON CT
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:NE
Practice Address - Zip Code:68064-4477
Practice Address - Country:US
Practice Address - Phone:720-984-7844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care