MEDICARE: L&V SWEET HOME CARE

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	310400000X	Assisted Living Facility	AL11286	FL

General Provider Information

NPI Number	:	1376971119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L&V SWEET HOME CARE

Provider Business Mailing Address
First Line	:	9380 VANCOUVER RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-6566
Country	:	US
Telephone Number	:	352-688-9653
Fax Number	:	352-835-7310

Provider Business Practice Location Address
First Line	:	2106 FINLAND DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-3833
Country	:	US
Telephone Number	:	352-688-9653
Fax Number	:	352-835-7310

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. LARRY LEWIS
Credential	:	MBA
Telephone Number	:	352-688-9653

Provider Enumeration Date	:	10/14/2013
Last Update Date	:	10/14/2013

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Directions to “L&V SWEET HOME CARE ” Practice Location

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