Provider Demographics
NPI:1194008862
Name:STAY-AT-HOME HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:STAY-AT-HOME HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:DARLEEN
Authorized Official - Last Name:KOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-569-0281
Mailing Address - Street 1:108 JUMPER DR N
Mailing Address - Street 2:
Mailing Address - City:BUSHNELL
Mailing Address - State:FL
Mailing Address - Zip Code:33513-5028
Mailing Address - Country:US
Mailing Address - Phone:352-569-0281
Mailing Address - Fax:352-569-0291
Practice Address - Street 1:108 JUMPER DR N
Practice Address - Street 2:
Practice Address - City:BUSHNELL
Practice Address - State:FL
Practice Address - Zip Code:33513-5028
Practice Address - Country:US
Practice Address - Phone:352-569-0281
Practice Address - Fax:352-569-0291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2013-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health