Care Advantage - Stay at Home, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCO-15745 Issued in VA

Legal business name

CARE ADVANTAGE - STAY AT HOME, LLC

Doing business as

Stay At Home Personal Care - Hampton

Practice address

1030 Topping LN
Hampton, VA 23666-1922

Phone

(757) 825-2255

Fax

(757) 825-2255

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 2

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

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1477948388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10041 MIDLOTHIAN TURNPIKE",
            "city": "RICHMOND",
            "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": "1030 TOPPING LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661922",
            "telephone_number": "757-825-2255",
            "fax_number": "757-825-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ADVANTAGE - STAY AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "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-15745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-64527936",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01-64524677",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stay At Home Personal Care - Hampton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stay at Home Assisted Living, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark Andrew Cannon, PA-C
• Renee Cannon, LCSW
• Stacey Carabello, OD
• Cardinal Ambulance Services Inc
• Cardinal Ambulance Services Inc
• Care Made Kind Residences LLC
• Care Solutions of Tidewater, LLC
• Caregivers Corner LLC
• Caregivers Corner LLC
• Judith Frances Carey, LCSW

• In Home Supportive Care Agency in Hampton, VA
• Providers in Hampton, VA by specialty
• In Home Supportive Care Agency in Virginia

• 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.