Organization Active NPI

Stay at Home Caregivers, Inc.

  • In Home Supportive Care Agency
  • Miami Lakes, FL
National Provider Identifier
1811227580
Registry record updated Jan 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
231499 Issued in FL
Legal business name
STAY AT HOME CAREGIVERS, INC.
Practice address
6625 Miami Lakes Dr
Suite #404
Miami Lakes, FL 33014-2708
Phone
(305) 777-3809
Fax
(954) 236-3289
NPI assigned
Jan 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2010

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

Authorized official

Name
Mrs. Coralia Maria Jennings, M.P.A., C.N.A.
Title
President
Phone
(305) 777-3809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 231499 FL Primary

Addresses

Primary practice location

6625 Miami Lakes Dr
Suite #404
Miami Lakes, FL 33014-2708

Mailing address

481 Sumter Ave
Davie, FL 33325-6350
Phone (305) 777-3809

Other identifiers 1

IdentifierTypeStateIssuer
231499OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

6625 Miami Lakes Dr
Ste 404
Miami Lakes, FL 33014
Phone (305) 777-3809

NPI Registry JSON

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

{
    "created_epoch": "1262390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262390400000",
    "number": "1811227580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 SUMTER AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333256350",
            "telephone_number": "305-777-3809",
            "fax_number": "954-236-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR",
            "address_2": "SUITE #404",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142708",
            "telephone_number": "305-777-3809",
            "fax_number": "954-236-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY AT HOME CAREGIVERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-02",
        "last_updated": "2010-01-02",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "CORALIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-777-3809",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.P.A., C.N.A."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "231499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "231499",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; 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.