Provider Demographics
NPI:1073360558
Name:SWEET GUARDIANS HOME HEALTH
Entity type:Organization
Organization Name:SWEET GUARDIANS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:W
Authorized Official - Last Name:WACHIRA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-222-9281
Mailing Address - Street 1:9198 GREENBACK LN STE 102
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4770
Mailing Address - Country:US
Mailing Address - Phone:916-222-9281
Mailing Address - Fax:888-690-4155
Practice Address - Street 1:9198 GREENBACK LN STE 102
Practice Address - Street 2:
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4770
Practice Address - Country:US
Practice Address - Phone:916-222-9281
Practice Address - Fax:888-690-4155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health