Healthcare Provider Details
I. General information
NPI: 1780259614
Provider Name (Legal Business Name): HOME SWEET HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2021
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
412 NANTASKET AVE
HULL MA
02045-2712
US
IV. Provider business mailing address
412 NANTASKET AVE
HULL MA
02045-2712
US
V. Phone/Fax
- Phone: 781-773-8337
- Fax: 781-394-6592
- Phone: 781-773-8337
- Fax: 781-394-6592
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
PALERMO
Title or Position: OWNER
Credential: RN
Phone: 781-773-8337