Organization Active NPI

Stay Care Home Health Services LLC

  • Home Health Agency
  • Vero Beach, FL
National Provider Identifier
1457923898
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAY CARE HOME HEALTH SERVICES LLC
Practice address
2770 Indian River Blvd Ste 203
Vero Beach, FL 32960-4230
Phone
(772) 480-7026
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Adelfine CauvinNPI 1912655093
Title
Owner
Phone
(772) 480-7026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2770 Indian River Blvd Ste 203
Vero Beach, FL 32960-4230

Mailing address

2770 Indian River Blvd Ste 203
Vero Beach, FL 32960-4230
Phone (772) 480-7026

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@staycarehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214000909 FL Part A Provider - Home Health Agency 1759771397 Practice locations: Vero Beach, FL

Home health agency certification: CCN 687342

Legal name
STAY CARE HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 19, 2024
Last certification
Jun 25, 2024
Organization structure
LLCProprietary
Incorporated
Jul 3, 2021 in FL
Enrollment address
2770 Indian River Blvd
Ste 203
Vero Beach, FL 32960-4230

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stay Care Home Health Services LLCCCN 687342 · All quality measures
Ownership
-
Certified
Jul 19, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2285834Stay Care Home Health Services LLC2770 Indian River Blvd Ste 203, Vero Beach, FL 32960Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

2770 Indian River Blvd
Ste 203
Vero Beach, FL 32960
Phone (772) 480-7026

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adelfine Cauvin Individual 5% Or Greater Direct Ownership Interest Oct 1, 2021 100%
Operational/Managerial Control Oct 1, 2021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1457923898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD STE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604230",
            "telephone_number": "772-480-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD STE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604230",
            "telephone_number": "772-480-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY CARE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "CAUVIN",
        "authorized_official_first_name": "ADELFINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-480-7026"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@staycarehealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2770 Indian River Blvd Ste 203",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329604230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.