Provider Demographics
NPI:1295424869
Name:STAYHOME MEDICAL LLC
Entity type:Organization
Organization Name:STAYHOME MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, FNP
Authorized Official - Prefix:
Authorized Official - First Name:ADINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:314-944-3003
Mailing Address - Street 1:192 GREENTRAILS DR N
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-2552
Mailing Address - Country:US
Mailing Address - Phone:314-944-3003
Mailing Address - Fax:314-735-4311
Practice Address - Street 1:192 GREENTRAILS DR N
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2552
Practice Address - Country:US
Practice Address - Phone:314-944-3003
Practice Address - Fax:314-735-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty