Provider Demographics
NPI:1821741588
Name:MAYSTANZ HOME CARE
Entity Type:Organization
Organization Name:MAYSTANZ HOME CARE
Other - Org Name:MAYSTANZ HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:OKEZIE
Authorized Official - Last Name:ONYEABO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-389-3454
Mailing Address - Street 1:5902 PADUCAH DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1174
Mailing Address - Country:US
Mailing Address - Phone:919-389-3454
Mailing Address - Fax:919-400-4613
Practice Address - Street 1:5029 FALLS OF NEUSE RD STE 216
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5498
Practice Address - Country:US
Practice Address - Phone:919-389-3454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies