Healthcare Provider Details

I. General information

NPI: 1700504016
Provider Name (Legal Business Name): SWEET HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WINTHROP ST STE 314
WORCESTER MA
01604-4439
US

IV. Provider business mailing address

10 WINTHROP ST STE 314
WORCESTER MA
01604-4439
US

V. Phone/Fax

Practice location:
  • Phone: 240-470-9889
  • Fax:
Mailing address:
  • Phone: 240-470-9889
  • Fax:

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 Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BERNICE CODJIA
Title or Position: PRESIDENT
Credential:
Phone: 240-470-9889