Provider Demographics
NPI: | 1952012510 |
---|---|
Name: | STAY AT HOME PARENTS LLC |
Entity Type: | Organization |
Organization Name: | STAY AT HOME PARENTS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MICHAELA |
Authorized Official - Middle Name: | N |
Authorized Official - Last Name: | HALL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CNA |
Authorized Official - Phone: | 352-681-1923 |
Mailing Address - Street 1: | 1441 SE 24TH AVE STE A1 |
Mailing Address - Street 2: | |
Mailing Address - City: | GAINESVILLE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32641-8711 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 352-681-1923 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1441 SE 24TH AVE STE A1 |
Practice Address - Street 2: | |
Practice Address - City: | GAINESVILLE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32641-8711 |
Practice Address - Country: | US |
Practice Address - Phone: | 352-681-1923 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-12-05 |
Last Update Date: | 2023-01-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care | |
No | 332U00000X | Suppliers | Home Delivered Meals | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |