Organization Active NPI

Stay at Home Home Care

  • In Home Supportive Care Agency
  • Southampton, PA
National Provider Identifier
1508486796
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STAY AT HOME HOME CARE
Practice address
505 Lakeside Park
Southampton, PA 18966-4078
Phone
(215) 768-9244
NPI assigned
Apr 17, 2020
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Ms. Diana Pivenshteyn, MANAGING PARTNERNPI 1194366351
Title
Community Health Liason
Phone
(215) 768-9244

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 1

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

Addresses

Primary practice location

505 Lakeside Park
Southampton, PA 18966-4078

Mailing address

505 Lakeside Park
Southampton, PA 18966-4078
Phone (215) 768-9244

Other identifiers 1

IdentifierTypeStateIssuer
44803601OtherPADEPT OF HEALTH LICENCE

National Provider Directory

National Provider Directory

Locations

505 Lakeside Park
Southampton, PA 18966
Phone (215) 768-9244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1508486796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664078",
            "telephone_number": "215-768-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LAKESIDE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664078",
            "telephone_number": "215-768-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY AT HOME HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "PIVENSHTEYN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "COMMUNITY HEALTH LIASON",
        "authorized_official_telephone_number": "215-768-9244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MANAGING PARTNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH LICENCE",
            "identifier": "44803601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.