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STAY HOME NURSING SERVICES LLC NPI 1306483581


NPI Information

NPI: 1306483581
Provider Name: STAY HOME NURSING SERVICES LLC
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
11084 TORINO DR
HAMPTON, GA
ZIP 30228
Phone: (678) 815-5446
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STAY HOME NURSING SERVICES LLC is a home health in Hampton, GA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. STAY HOME NURSING SERVICES LLC NPI is 1306483581. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11084 TORINO DR
HAMPTON, GA
ZIP 30228-446
Phone: (678) 815-5446
Fax: (770) 872-8267

The provider's authorized official is Jacqueline Edwards .
The authorized official title is Owner and has the following contact phone number (678) 237-7183.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 12/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2251B00000XCase ManagementNo
3251C00000XDay Training, Developmentally Disabled ServicesNo
4251E00000XHome HealthYes
5251J00000XNursing CareNo
6320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
7320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
8385H00000XRespite CareNo
9385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
10385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
11253Z00000XIn Home Supportive CareNo
12251S00000XCommunity/Behavioral HealthNo
13251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002OTHERINDIANAPRIVATE 3RD PARTY PAY
202MEDICAIDINDIANA
301MEDICAIDGEORGIA
4001OTHERGEORGIAPRIVATE OTHER 3RD PARTY PAY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.