Healthcare Provider Details

I. General information

NPI: 1134732415
Provider Name (Legal Business Name): SWEET HOMES HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 159TH ST STE 500
OAK FOREST IL
60452-3335
US

IV. Provider business mailing address

5320 159TH ST STE 500
OAK FOREST IL
60452-3335
US

V. Phone/Fax

Practice location:
  • Phone: 708-316-2378
  • Fax: 708-316-2378
Mailing address:
  • Phone: 708-316-2378
  • Fax: 708-316-2378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EDWINNER JOYNER
Title or Position: OWNER
Credential:
Phone: 708-316-2378