Provider Demographics
NPI:1033958772
Name:NJ SWEET HOME HEALTH LLC
Entity type:Organization
Organization Name:NJ SWEET HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZOE
Authorized Official - Middle Name:DUCKENS
Authorized Official - Last Name:SEJOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-220-3891
Mailing Address - Street 1:118 MOSS PL
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-3613
Mailing Address - Country:US
Mailing Address - Phone:908-220-3891
Mailing Address - Fax:732-749-7616
Practice Address - Street 1:2260 RT 33 STE 9
Practice Address - Street 2:SUITE 9
Practice Address - City:NEPTUNE CITY
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:908-220-3891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NJ SWEET HOME HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities