MEDICARE: SWEET HOMES HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1134732415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET HOMES HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	5320 159TH ST STE 500
Second Line	:
City	:	OAK FOREST
State	:	IL
Zip	:	60452-3335
Country	:	US
Telephone Number	:	708-316-2378
Fax Number	:	708-316-2378

Provider Business Practice Location Address
First Line	:	5320 159TH ST STE 500
Second Line	:
City	:	OAK FOREST
State	:	IL
Zip	:	60452-3335
Country	:	US
Telephone Number	:	708-316-2378
Fax Number	:	708-316-2378

Authorized Official
Title or Position	:	OWNER
Name	:	EDWINNER JOYNER
Credential	:
Telephone Number	:	708-316-2378

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	12/12/2025

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