Organization Active NPI

Stay at Home Senior Care, LLC

  • In Home Supportive Care Agency
  • Wake Forest, NC
National Provider Identifier
1578893467
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
230375126 Issued in NC
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

Updated by the provider on Dec 28, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.