Organization Active NPI

Stay Home Caregivers, LLC

  • In Home Supportive Care Agency
  • Vandalia, IL
National Provider Identifier
1043858236
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STAY HOME CAREGIVERS, LLC
Practice address
2203 W Jefferson St Ste a
Vandalia, IL 62471-1465
Phone
(618) 283-9028
Fax
(618) 259-4201
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Ms. Kelly Ann May
Title
Manager
Phone
(618) 283-9028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2203 W Jefferson St Ste a
Vandalia, IL 62471-1465

Mailing address

2203 W Jefferson St Ste a
Vandalia, IL 62471-1465
Phone (618) 283-9028

National Provider Directory

National Provider Directory

Locations

2203 W Jefferson St
Ste A
Vandalia, IL 62471
Phone (618) 270-8140

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1043858236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W JEFFERSON ST STE A",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711465",
            "telephone_number": "618-283-9028",
            "fax_number": "618-259-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W JEFFERSON ST STE A",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711465",
            "telephone_number": "618-283-9028",
            "fax_number": "618-259-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY HOME CAREGIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-283-9028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.