Provider Demographics
NPI:1437875838
Name:STAY AT HOME HOME CARE DE LLC
Entity Type:Organization
Organization Name:STAY AT HOME HOME CARE DE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAVTARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-423-7310
Mailing Address - Street 1:1732 MARSH RD # 123
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4606
Mailing Address - Country:US
Mailing Address - Phone:267-423-7310
Mailing Address - Fax:215-322-2333
Practice Address - Street 1:1732 MARSH RD # 123
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4606
Practice Address - Country:US
Practice Address - Phone:267-423-7310
Practice Address - Fax:215-322-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care