NPI Code Details Logo

NPI 1952198251

NPI 1952198251 : SWEETHEART HOME CARE LLC : GRAND RAPIDS, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1952198251
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SWEETHEART HOME CARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/22/2025
-----------------------------------------------------
    Last Update Date     |    02/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1717 4 MILE RD NE STE B 
-----------------------------------------------------
    City                 |    GRAND RAPIDS
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49525-2458
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-441-1000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    123 TICE BLVD STE 300B 
-----------------------------------------------------
    City                 |    WOODCLIFF LAKE
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07677-7671
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-441-1000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     MOSHE  STARESHEFSKY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    201-441-1000
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.