Provider Demographics
NPI:1316514029
Name:MEL ROSE SWEET HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:MEL ROSE SWEET HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEET ARMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-928-9696
Mailing Address - Street 1:12207 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-6528
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12207 S YALE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-6528
Practice Address - Country:US
Practice Address - Phone:708-971-6549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care