Organization Active NPI

Stay at Home Care

  • In Home Supportive Care Agency
  • Chantilly, VA
National Provider Identifier
1760870182
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-151168 Issued in VA
Legal business name
STAY AT HOME CARE
Practice address
4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270
Phone
(703) 402-1172
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Cathy S Fulton
Title
Owner
Phone
(703) 402-1172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-151168 VA Primary

Addresses

Primary practice location

4229 Lafayette Center Dr Ste 1675
Chantilly, VA 20151-1270

Mailing address

42403 Pine Forest Dr
Chantilly, VA 20152-6073
Phone (703) 402-1172

National Provider Directory

National Provider Directory

Locations

4229 Lafayette Center Dr
Ste 1675
Chantilly, VA 20151
Phone (804) 476-0889

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1760870182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42403 PINE FOREST DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526073",
            "telephone_number": "703-402-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1675",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511270",
            "telephone_number": "703-402-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY AT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-402-1172"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-151168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.