Active NPI
Stay at Home Senior Care, LLC
- In Home Supportive Care Agency
- Wake Forest, NC
National Provider Identifier
1578893467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 230375126
- Legal business name
- STAY AT HOME SENIOR CARE, LLC
- Practice address
- 2014 S Main St
Suite 610
Wake Forest, NC 27587-4339 - Phone
- (919) 556-3706
- NPI assigned
- Dec 28, 2009
- 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
- Deborah Bordeaux
- Title
- President
- Phone
- (919) 556-3706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 230375126 | NC | Primary |
Addresses
Primary practice location
2014 S Main St
Suite 610
Wake Forest, NC 27587-4339
Mailing address
2014 S Main St
Suite 610
Wake Forest, NC 27587-4339
National Provider Directory
National Provider DirectoryLocations
2014 S Main St
Ste 610
Wake Forest, NC 27587
Phone (919) 556-3706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261958400000",
"number": "1578893467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 S MAIN ST",
"address_2": "SUITE 610",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 S MAIN ST",
"address_2": "SUITE 610",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874339",
"telephone_number": "919-556-3706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAY AT HOME SENIOR CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-28",
"last_updated": "2009-12-28",
"status": "A",
"authorized_official_last_name": "BORDEAUX",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-556-3706"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "230375126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.