MEDICARE: HOME SWEET HOME HEALTH CARE, INC.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1174854343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME SWEET HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	7905 ALLEN RD
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-1779
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7905 ALLEN RD
Second Line	:
City	:	ALLEN PARK
State	:	MI
Zip	:	48101-1779
Country	:	US
Telephone Number	:	313-382-9066
Fax Number	:	313-382-8814

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KIMBERLY CAMPBELL
Credential	:
Telephone Number	:	313-382-9066

Provider Enumeration Date	:	01/27/2010
Last Update Date	:	01/27/2010

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