Healthcare Provider Details

I. General information

NPI: 1730642497
Provider Name (Legal Business Name): HOME SWEET HOME IN-HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 BUCK ISLAND RD
BLUFFTON SC
29910-2991
US

IV. Provider business mailing address

PO BOX 2026
BLUFFTON SC
29910-2026
US

V. Phone/Fax

Practice location:
  • Phone: 843-350-2680
  • Fax:
Mailing address:
  • Phone: 843-350-2680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JACQUELYN BROWN
Title or Position: ADMINISTRATOR
Credential:
Phone: 843-350-2680