MEDICARE: SWEET HOME SERVICES, 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	251E00000X	Home Health Agency	299992320	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299992320	OTHER	FL	HOME HEALTH AGENCY LICENC

General Provider Information

NPI Number	:	1801939806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET HOME SERVICES, INC.

Provider Business Mailing Address
First Line	:	1865 BRICKELL AVE STE A209
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-1626
Country	:	US
Telephone Number	:	305-860-0077
Fax Number	:	305-860-9878

Provider Business Practice Location Address
First Line	:	1865 BRICKELL AVE STE A209
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-1626
Country	:	US
Telephone Number	:	305-860-0077
Fax Number	:	305-860-9878

Authorized Official
Title or Position	:	OWNER
Name	:	CARLOS BARROSO
Credential	:
Telephone Number	:	305-860-0077

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	02/21/2012

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Directions to “SWEET HOME SERVICES, INC. ” Practice Location

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