Active NPI
Stay at Home Healthcare Services, LLC
- Nursing Care Agency
- Lihue, HI
National Provider Identifier
1093315251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- STAY AT HOME HEALTHCARE SERVICES, LLC
- Practice address
- 2943 Kress St
Lihue, HI 96766-1815 - Phone
- (808) 246-6919
- NPI assigned
- Oct 27, 2020
- Last updated
- Jan 19, 2021
- Organization subpart
- Yes
- Parent organization
- STAY AT HOME HEALTHCARE SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall I Hata
- Title
- Treasurer
- Phone
- (808) 791-4496
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | NU | Primary |
Addresses
Primary practice location
2943 Kress St
Lihue, HI 96766-1815
Mailing address
45-181 Waikalua Rd
Kaneohe, HI 96744-2765
Phone (808) 247-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804171 | Medicaid | HI |
National Provider Directory
National Provider Directory- Tax ID family
- Stay at Home Healthcare Services LLC
- Part of
- Stay at Home Healthcare Services LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Lihue, HI
- NPI 1144568452
-
- Home Health Agency
- Hilo, HI
- NPI 1447901657
-
- In Home Supportive Care Agency
- Lihue, HI
- NPI 1770187130
Locations
2943 Kress St
Lihue, HI 96766
Phone (808) 246-6919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1093315251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-181 WAIKALUA RD",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967442765",
"telephone_number": "808-247-0003",
"fax_number": "808-247-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2943 KRESS ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661815",
"telephone_number": "808-246-6919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAY AT HOME HEALTHCARE SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STAY AT HOME HEALTHCARE SERVICES, LLC",
"enumeration_date": "2020-10-27",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "HATA",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "808-791-4496"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804171",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
- Daniel George Spicer, D.O., M.P.H.
- Anna Maria Spivak, MS REC ADMIN
- St. Francis Community Health Services
- St. Francis Medical Center - Kauai Dialysis
- State of Hawaii Department of Health (Kauai Community Mental Health Center)
- Stay at Home Healthcare Services, LLC
- Stay at Home Healthcare Services, LLC
- Stephanie Skow MD Inc
- Lori Stitt
- Karin Avis Stoll, LCSW, DCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.