Provider Demographics
NPI:1629516448
Name:STAY AT HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:STAY AT HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-571-5111
Mailing Address - Street 1:1850 BASSETT ST
Mailing Address - Street 2:APT 426
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1048
Mailing Address - Country:US
Mailing Address - Phone:225-571-5111
Mailing Address - Fax:
Practice Address - Street 1:1850 BASSETT ST
Practice Address - Street 2:APT 426
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1048
Practice Address - Country:US
Practice Address - Phone:225-571-5111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care