Healthcare Provider Details

I. General information

NPI: 1215599733
Provider Name (Legal Business Name): HOME SWEET HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2019
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 E UNIVERSITY DR STE 209B
TEMPE AZ
85288-4686
US

IV. Provider business mailing address

PO BOX 7913
TEMPE AZ
85281-0031
US

V. Phone/Fax

Practice location:
  • Phone: 347-415-0566
  • Fax:
Mailing address:
  • Phone: 480-561-4000
  • Fax: 480-561-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH KLEIN
Title or Position: CEO
Credential:
Phone: 201-371-4000