Active NPI
Stay at Home Health Care Inc
- Home Health Agency
- Madison, IL
National Provider Identifier
1376959668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- STAY AT HOME HEALTH CARE INC
- Practice address
- 1130 Douglas St
Madison, IL 62060-1122 - Phone
- (618) 303-6369
- NPI assigned
- Jul 7, 2014
- 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
- Avery Ware
- Title
- President/Ceo
- Phone
- (618) 303-6369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1130 Douglas St
Madison, IL 62060-1122
Mailing address
1130 Douglas St
Madison, IL 62060-1122
Phone (618) 303-6369
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404691200000",
"number": "1376959668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 DOUGLAS ST",
"city": "MADISON",
"state": "IL",
"postal_code": "620601122",
"telephone_number": "618-303-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 DOUGLAS ST",
"city": "MADISON",
"state": "IL",
"postal_code": "620601122",
"telephone_number": "618-303-6369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAY AT HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"last_updated": "2014-07-07",
"status": "A",
"authorized_official_last_name": "WARE",
"authorized_official_first_name": "AVERY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "618-303-6369"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.