MEDICARE: SWEET HOME HEALTH 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	:	1346938206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	3235 W COLUMBUS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1852
Country	:	US
Telephone Number	:	813-756-2020
Fax Number	:	813-308-3434

Provider Business Practice Location Address
First Line	:	3235 W COLUMBUS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1852
Country	:	US
Telephone Number	:	813-756-2020
Fax Number	:	813-308-3434

Authorized Official
Title or Position	:	OWNER, ADMINISTRATOR
Name	:	JOSE ZALDIVAR RICARDO
Credential	:	ARNP
Telephone Number	:	813-756-2020

Provider Enumeration Date	:	04/28/2023
Last Update Date	:	04/28/2023

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Directions to “SWEET HOME HEALTH LLC ” Practice Location

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