Healthcare Provider Details

I. General information

NPI: 1902748726
Provider Name (Legal Business Name): SWEET FAMILY GROUP HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3187 LEMA DR
SPRING HILL FL
34609-2846
US

IV. Provider business mailing address

3187 LEMA DR
SPRING HILL FL
34609-2846
US

V. Phone/Fax

Practice location:
  • Phone: 813-841-1468
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KARIELIS GONZALEZ
Title or Position: OWNER
Credential:
Phone: 813-841-1468