Provider Demographics
NPI:1326374125
Name:STAY HOME SENIOR SERVICES INC
Entity Type:Organization
Organization Name:STAY HOME SENIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-842-2273
Mailing Address - Street 1:13831 FAITH RD
Mailing Address - Street 2:
Mailing Address - City:CLEAR SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:21722-1120
Mailing Address - Country:US
Mailing Address - Phone:301-842-2273
Mailing Address - Fax:301-842-2273
Practice Address - Street 1:13831 FAITH RD
Practice Address - Street 2:
Practice Address - City:CLEAR SPRING
Practice Address - State:MD
Practice Address - Zip Code:21722-1120
Practice Address - Country:US
Practice Address - Phone:301-842-2273
Practice Address - Fax:301-842-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD090702251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health