Organization Active NPI

Home Stay LLC

  • In Home Supportive Care Agency
  • Martinsville, IN
National Provider Identifier
1376354530
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME STAY LLC
Practice address
Homestay Home Care
1839 Robin Rd Suite 106
Martinsville, IN 46151-3040
Phone
(317) 792-0223
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Kammie L Dixon
Title
Owner
Phone
(317) 792-0223

Specialties & licenses 1

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

Addresses

Primary practice location

Homestay Home Care
1839 Robin Rd Suite 106
Martinsville, IN 46151-3040

Mailing address

1040 E 86TH St Ste 46C
Indianapolis, IN 46240-1857
Phone (317) 792-0223

Other names 1

  • Homestay Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

1040 E 86th St
Ste 46C
Indianapolis, IN 46240

1839 Robin Rd
Ste 106
Martinsville, IN 46151
Phone (317) 792-0223

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1376354530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 46C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401857",
            "telephone_number": "317-792-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOMESTAY HOME CARE",
            "address_2": "1839 ROBIN RD SUITE 106",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461513040",
            "telephone_number": "317-792-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME STAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "KAMMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-792-0223"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestay Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.