Provider Demographics
NPI:1346965118
Name:STAY HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:STAY HOME HEALTH CARE LLC
Other - Org Name:STAY HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DESIGNATED MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARKENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-937-8810
Mailing Address - Street 1:7714 PROSPECT AVE # 104
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-3406
Mailing Address - Country:US
Mailing Address - Phone:816-937-8810
Mailing Address - Fax:
Practice Address - Street 1:7714 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-3406
Practice Address - Country:US
Practice Address - Phone:816-885-0130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STAY HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-05
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health