Provider Demographics
NPI:1386148203
Name:HOME SWEET HOME HEALTH CARE AGENCY, LLC
Entity type:Organization
Organization Name:HOME SWEET HOME HEALTH CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-650-8260
Mailing Address - Street 1:464 GODFREY ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:PA
Mailing Address - Zip Code:19507
Mailing Address - Country:US
Mailing Address - Phone:484-650-8260
Mailing Address - Fax:
Practice Address - Street 1:464 GODFREY ST
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:PA
Practice Address - Zip Code:19507
Practice Address - Country:US
Practice Address - Phone:484-650-8260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-23
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA35813601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health