Sweet Waters Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SWEET WATERS HOMECARE, LLC

Practice address

130 Stonemark CT
Jacksonville, NC 28540-9170

Phone

(910) 330-1082

NPI assigned

Jan 26, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Moses Leonard Walker

Title

Owner/Manager

Phone

(910) 330-1082

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1083151195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 N MARINE BLVD",
            "address_2": "SUITE U, #337",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465535",
            "telephone_number": "910-319-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STONEMARK CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409170",
            "telephone_number": "910-330-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET WATERS HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "910-330-1082",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Swailes, P.A.
• Nikki Rose Swailes, PA-C
• Ashtin Swaim, DPT
• Jacqueline Swain
• Katrina S Swartz, PAC
• Amanda Sweet, PA-C
• Swetang Patel, MD, PA
• Lauren Nicole Cherie Swinson, LCSW, LCAS
• Synergy Physical Therapy & Sports Medicine LLC
• John Synowsky

• In Home Supportive Care Agency in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.