Provider Demographics
NPI:1184387664
Name:STAY AT HOME HEALTHCARE, CO.
Entity type:Organization
Organization Name:STAY AT HOME HEALTHCARE, CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-620-4337
Mailing Address - Street 1:PO BOX 3522
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45401-3522
Mailing Address - Country:US
Mailing Address - Phone:937-620-4337
Mailing Address - Fax:
Practice Address - Street 1:42 E RAHN RD STE 104
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-5459
Practice Address - Country:US
Practice Address - Phone:937-620-4337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty