Provider Demographics
NPI:1427756048
Name:SWEETIE'S HOMECARE, INC
Entity type:Organization
Organization Name:SWEETIE'S HOMECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-288-6356
Mailing Address - Street 1:4900 UNIVERSITY SQ STE 8D
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35816-1829
Mailing Address - Country:US
Mailing Address - Phone:256-654-0531
Mailing Address - Fax:
Practice Address - Street 1:4900 UNIVERSITY SQ STE 8D
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-1829
Practice Address - Country:US
Practice Address - Phone:256-654-0531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health