Sweet Home Primary Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SWEET HOME PRIMARY CARE LLC

Practice address

426 E Allegheny Ave Ste 303
Philadelphia, PA 19134-2338

Phone

(215) 739-1400

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Jed Ryan

Title

Cfo

Phone

(215) 852-0242

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1861045080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E ALLEGHENY AVE STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E ALLEGHENY AVE STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342338",
            "telephone_number": "215-739-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET HOME PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-852-0242"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAYER ASSIGNED PROVIDER NUMBER",
            "identifier": "30796039",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://4020.axiscare.com/",
            "affiliation": "N",
            "endpointDescription": "Location Specific and secure gateway for all communications/records regarding patients/participants",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "426 E Allegheny Ave Ste 303",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191342338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darryl Sweeper Jr., PSY.D.
• Sweet Hands Home Healthcare Agency LLC
• Sweet Home Care Service LLC
• Sweet Home Health Care
• Sweet Home Healthcare
• Ashley Lauren Sweet, MD
• Elizabeth Therese Sweet, AUD
• Jimya Sweet
• Sweets Home Care LLC
• Sharell Sweetwine, CNA

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.