Home Care Sweet Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HOME CARE SWEET HOME, LLC

Practice address

4522 E Michigan Ave
Phoenix, AZ 85032-1586

Phone

(480) 532-6788

Fax

(602) 774-0189

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Elijah Yeseri Byekwaso Lubandi

Title

Director of Operations

Phone

(310) 844-3163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1679182042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 E ADOBE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508248",
            "telephone_number": "480-532-6788",
            "fax_number": "602-774-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 E MICHIGAN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321586",
            "telephone_number": "480-532-6788",
            "fax_number": "602-774-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SWEET HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "LUBANDI",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "YESERI BYEKWASO",
        "authorized_official_title_or_position": "DIRECTOR OF  OPERATIONS",
        "authorized_official_telephone_number": "310-844-3163"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.