Provider Demographics
NPI:1932627601
Name:HOME SWEET HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:HOME SWEET HOME HEALTH SERVICES LLC
Other - Org Name:HOMUNITY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE,OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:ALCANTARA
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-216-8218
Mailing Address - Street 1:28 ASHBY ST # C103
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3246
Mailing Address - Country:US
Mailing Address - Phone:540-216-8218
Mailing Address - Fax:540-216-7789
Practice Address - Street 1:8957 CENTER ST
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-5403
Practice Address - Country:US
Practice Address - Phone:540-216-8218
Practice Address - Fax:540-216-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002093270251E00000X
332B00000X, 385H00000X, 385HR2060X, 385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child