Provider Demographics
NPI:1467757245
Name:STGI HOME HEALTH LLC
Entity Type:Organization
Organization Name:STGI HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:CHE
Authorized Official - Phone:303-594-5565
Mailing Address - Street 1:99 CANAL CENTER PLZ
Mailing Address - Street 2:SUITE 430
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1559
Mailing Address - Country:US
Mailing Address - Phone:703-578-6030
Mailing Address - Fax:703-578-4474
Practice Address - Street 1:99 CANAL CENTER PLZ
Practice Address - Street 2:SUITE 430
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1559
Practice Address - Country:US
Practice Address - Phone:703-578-6030
Practice Address - Fax:703-578-4474
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STG INTERNATIONAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAN/A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health