Organization Active NPI

Stay at Home Health, LLC

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1316711104
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Kitra Corder, REGISTERED NURSENPI 1811538846
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 157731 · All quality measures
Ownership
Proprietary
Certified
Jul 8, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2300692Stay at Home Health, LLC9247 N Meridian St, Ste 200, Indianapolis, IN 46260Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Rancer Huntington Individual 5% Or Greater Direct Ownership Interest Aug 26, 2023 33%
Corporate OfficerChief Financial Officer (Cfo) Aug 26, 2023 33%
Corporate Director Aug 26, 2023 33%
W-2 Managing Employee Aug 26, 2023 33%
Aleksander Kupilas Individual 5% Or Greater Direct Ownership Interest Aug 26, 2023 33%
Corporate OfficerChief Marketing Officer (Cmo) Aug 26, 2023 33%
Corporate Director Aug 26, 2023 33%
W-2 Managing Employee Aug 26, 2023 33%
Kitra O Corder Individual 5% Or Greater Direct Ownership Interest Aug 26, 2023 34%
Corporate OfficerChief Executive Officer (Ceo) 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.

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

Verify at the official NPI Registry.