Provider Demographics
NPI:1790100444
Name:STAY AT HOME CARE LLC
Entity Type:Organization
Organization Name:STAY AT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RADEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-433-3460
Mailing Address - Street 1:7000 ROOSEVELT AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-2583
Mailing Address - Country:US
Mailing Address - Phone:313-427-3286
Mailing Address - Fax:313-381-2643
Practice Address - Street 1:7000 ROOSEVELT AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-2583
Practice Address - Country:US
Practice Address - Phone:313-427-3286
Practice Address - Fax:313-381-2643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care