Active NPI
Stay at Home Health, LLC
- Home Health Agency
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STAY AT HOME HEALTH, LLC
- Practice address
- 9247 N Meridian St Ste 200
Indianapolis, IN 46260-1824 - Phone
- (765) 993-4040
- Fax
- (317) 559-4774
- NPI assigned
- Nov 13, 2023
- Last updated
- Aug 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kitra Corder, REGISTERED NURSE
- Title
- Ceo/Owner
- Phone
- (765) 993-4040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
9247 N Meridian St Ste 200
Indianapolis, IN 46260-1824
Mailing address
9247 N Meridian St Ste 200
Indianapolis, IN 46260-1824
Phone (765) 993-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250423001715 | IN | Part A Provider - Home Health Agency | 3072038926 | Practice locations: Indianapolis, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316711104. Details of each certification follow.
Home health agency certification: CCN 157731
- Legal name
- STAY AT HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 8, 2025
- Last certification
- Jul 8, 2025
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 9247 N Meridian St
Ste 200
Indianapolis, IN 46260-1824
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Stay at Home Health LLC
- Ownership
- Proprietary
- Certified
- Jul 8, 2025
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2300692 | Stay at Home Health, LLC | Certificate of waiver | Mar 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
9247 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (765) 993-4040
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rancer Huntington | 5% Or Greater Direct Ownership Interest | Aug 26, 2023 | 33% |
| Corporate Officer | Aug 26, 2023 | 33% | |
| Corporate Director | Aug 26, 2023 | 33% | |
| W-2 Managing Employee | Aug 26, 2023 | 33% | |
| Aleksander Kupilas | 5% Or Greater Direct Ownership Interest | Aug 26, 2023 | 33% |
| Corporate Officer | Aug 26, 2023 | 33% | |
| Corporate Director | Aug 26, 2023 | 33% | |
| W-2 Managing Employee | Aug 26, 2023 | 33% | |
| Kitra O Corder | 5% Or Greater Direct Ownership Interest | Aug 26, 2023 | 34% |
| Corporate Officer | Aug 26, 2023 | 34% | |
| W-2 Managing Employee | Aug 26, 2023 | 34% |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Administrator Registered Nurse
- Indianapolis, IN
- NPI 1811538846
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1316711104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9247 N MERIDIAN ST STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601824",
"telephone_number": "765-993-4040",
"fax_number": "317-559-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9247 N MERIDIAN ST STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601824",
"telephone_number": "765-993-4040",
"fax_number": "317-559-4774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAY AT HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "CORDER",
"authorized_official_first_name": "KITRA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "765-993-4040",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.