Home Sweet Home Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME SWEET HOME CARE INC.

Practice address

16 W 6TH St
Atlantic, IA 50022-1449

Phone

(712) 542-4181

Fax

(712) 542-2542

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tish Ann Frazier

Title

Branch Admin.

Phone

(712) 542-4181

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Home health agency certification: CCN 167239

Legal name

HOME SWEET HOME CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 27, 1995

Last certification

Jul 25, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 1, 1994 in IA

Enrollment address

16 W 6TH St
Atlantic, IA 50022-1449

Listed as

Home Sweet Home CareCCN 167239

Ownership

Proprietary

Certified

Apr 27, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932252020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W 6TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221449",
            "telephone_number": "712-542-4181",
            "fax_number": "712-542-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W 6TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221449",
            "telephone_number": "712-542-4181",
            "fax_number": "712-542-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "TISH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BRANCH ADMIN.",
        "authorized_official_telephone_number": "712-542-4181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672394",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Atlantic, IA
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.