Stay Home Health Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

STAY HOME HEALTH SERVICES

Practice address

948 Tyler St
Pearl, MS 39208-9625

Phone

(662) 769-5826

NPI assigned

May 4, 2020

Organization subpart

No

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

Authorized official

Name

Juan McCullum, JD

Title

Co-Owner

Phone

(202) 322-1717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1740801414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 M ST SE APT 424",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033419",
            "telephone_number": "202-322-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 TYLER ST",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089625",
            "telephone_number": "662-769-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "MCCULLUM",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "202-322-1717",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Pearl, MS
• Providers in Pearl, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.