Provider Demographics
NPI:1700319415
Name:STAY AT HOME HEALTH CARE
Entity Type:Organization
Organization Name:STAY AT HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HAVARD
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:936-635-5791
Mailing Address - Street 1:16462 S US HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:75949-4499
Mailing Address - Country:US
Mailing Address - Phone:936-635-5791
Mailing Address - Fax:936-876-2080
Practice Address - Street 1:16462 S US HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:TX
Practice Address - Zip Code:75949-4499
Practice Address - Country:US
Practice Address - Phone:936-635-5791
Practice Address - Fax:936-876-2080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care