NPIMap

Organization Active NPI

Care Advantage - Stay at Home, LLC

Doing business as Stay at Home Personal Care

  • In Home Supportive Care Agency
  • Chesapeake, VA
National Provider Identifier
1417347345
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-13745 Issued in VA
Legal business name
CARE ADVANTAGE - STAY AT HOME, LLC
Doing business as
Stay at Home Personal Care
Practice address
651 River Walk Pkwy
Chesapeake, VA 23320-6819
Phone
(757) 392-1001
Fax
(844) 870-4775
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Brandi Smith, ADMINISTRATOR
Title
Senior Administrator
Phone
(757) 708-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-13745 VA Primary

Addresses

Primary practice location

651 River Walk Pkwy
Chesapeake, VA 23320-6819

Mailing address

10041 Midlothian Turnpike
North Chesterfield, VA 23235
Phone (804) 323-9667

Other identifiers 2

IdentifierTypeStateIssuer
01-00524245MedicaidVA
01-00424537MedicaidVA

Other names 2

  • Stay at Home Personal Care Doing business as
  • Stay at Home Assisted Living, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Care Advantage - Stay at Home LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1417347345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10041 MIDLOTHIAN TURNPIKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-323-9667",
            "fax_number": "804-330-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 RIVER WALK PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206819",
            "telephone_number": "757-392-1001",
            "fax_number": "844-870-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ADVANTAGE - STAY AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "SENIOR ADMINISTRATOR",
        "authorized_official_telephone_number": "757-708-2191",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-13745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-00524245",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-00424537",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stay at Home Personal Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stay at Home Assisted Living, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.