Stay Home I Will, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-089833 Issued in OH

Legal business name

STAY HOME I WILL, LLC

Doing business as

Concierge Connected Care

Practice address

11201 Sandusky St Ste 101
Perrysburg, OH 43551-3130

Phone

(419) 214-1213

Fax

(419) 214-0783

NPI assigned

Aug 4, 2016

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Radharamanamurthy Gokula, MD,CMD,DIPABLMNPI 1720089139

Title

President/Ceo

Phone

(419) 214-1213

Specialties & licenses 1

Addresses

Other names 1

• CONCIERGE CONNECTED CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Radharamanamurthy Gokula, M.D.

  • Family Medicine Physician
  • Perrysburg, OH
  • NPI 1720089139
  Medicare reassignment Care Compare group NPD Authorized official
• Kristi Lorenc, CNP

  • Nurse Practitioner
  • Sylvania, OH
  • NPI 1043686710
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1023562279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 SANDUSKY ST STE 101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513130",
            "telephone_number": "419-214-1213",
            "fax_number": "419-214-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SANDUSKY ST STE 101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513130",
            "telephone_number": "419-214-1213",
            "fax_number": "419-214-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY HOME I WILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "GOKULA",
        "authorized_official_first_name": "RADHARAMANAMURTHY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "419-214-1213",
        "authorized_official_credential": "MD,CMD,DIPABLM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-089833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONCIERGE CONNECTED CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matt Liberty Spiers, DC FAAIM
• St. Clare Commons
• St. Clare Commons
• Anne Elizabeth Stanley
• Rachel Stanton, OTR/L
• Samantha Stevenson, NP
• Sharonda Lee Steward-Moss
• Janika Louise Stewart
• Chandler Nolan Stidham
• Michael Stierman, NP

• Family Medicine Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.