Healthcare Provider Details

I. General information

NPI: 1265751622
Provider Name (Legal Business Name): HOME SWEET HOMEHEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8402 E INTERSTATE 20
ALEDO TX
76008-3204
US

IV. Provider business mailing address

6000 WESTERN PL SUITE 710
FORT WORTH TX
76107-4607
US

V. Phone/Fax

Practice location:
  • Phone: 817-332-1126
  • Fax: 817-441-1043
Mailing address:
  • Phone:
  • 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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DENISE DEAPEN
Title or Position: PRESIDENT
Credential:
Phone: 817-475-3521