Stay Home Senior Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

200501610 Issued in IN

Legal business name

STAY HOME SENIOR CARE INC

Practice address

119 1/2 W Maumee St
Angola, IN 46703-1979

Phone

(260) 668-8737

Fax

(260) 665-3185

NPI assigned

Oct 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Doug Molyneux

Title

Co-Owner

Phone

(260) 668-8737

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1265684567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 1/2 W MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031979",
            "telephone_number": "260-668-8737",
            "fax_number": "260-665-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 1/2 W MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031979",
            "telephone_number": "260-668-8737",
            "fax_number": "260-665-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY HOME SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "MOLYNEUX",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "260-668-8737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "200501610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.