Provider Demographics
NPI:1972338911
Name:SWEET HOMECARE PCA LLC
Entity type:Organization
Organization Name:SWEET HOMECARE PCA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOMECARE PCA
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:COMMUNITY HEALTH CAR
Authorized Official - Phone:480-255-3314
Mailing Address - Street 1:1061 MARNE CT APT C
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-6104
Mailing Address - Country:US
Mailing Address - Phone:480-255-3314
Mailing Address - Fax:
Practice Address - Street 1:1061 MARNE CT APT C
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-6104
Practice Address - Country:US
Practice Address - Phone:480-255-3314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty