Provider Demographics
NPI:1639958408
Name:STAY AT HOME HEALTH NETWORK LLC
Entity Type:Organization
Organization Name:STAY AT HOME HEALTH NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-565-9630
Mailing Address - Street 1:182 GRAND ST STE 415
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-1914
Mailing Address - Country:US
Mailing Address - Phone:203-707-5488
Mailing Address - Fax:
Practice Address - Street 1:182 GRAND ST STE 415
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-1914
Practice Address - Country:US
Practice Address - Phone:203-707-5488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health