Provider Demographics
NPI:1932252020
Name:HOME SWEET HOME CARE INC.
Entity Type:Organization
Organization Name:HOME SWEET HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH ADMIN.
Authorized Official - Prefix:MRS
Authorized Official - First Name:TISH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-542-4181
Mailing Address - Street 1:16 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC
Mailing Address - State:IA
Mailing Address - Zip Code:50022-1449
Mailing Address - Country:US
Mailing Address - Phone:712-542-4181
Mailing Address - Fax:712-542-2542
Practice Address - Street 1:16 W 6TH ST
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022-1449
Practice Address - Country:US
Practice Address - Phone:712-542-4181
Practice Address - Fax:712-542-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0672394Medicaid
IA0672394Medicaid