Organization Active NPI

Stay at Homecare LLC

  • In Home Supportive Care Agency
  • Oconto Falls, WI
National Provider Identifier
1902261571
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STAY AT HOMECARE LLC
Practice address
102 N Main St Ste a
Oconto Falls, WI 54154-1433
Phone
(920) 834-4049
Fax
(920) 834-3049
NPI assigned
Dec 23, 2015
Last updated
Mar 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Brandon Beaumia
Title
Operations Coordinator
Phone
(920) 834-4049

Specialties & licenses 1

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

Addresses

Primary practice location

102 N Main St Ste a
Oconto Falls, WI 54154-1433

Mailing address

102 N Main St Ste a
Oconto Falls, WI 54154-1433
Phone (920) 834-4049

Other identifiers 1

IdentifierTypeStateIssuer
100042372MedicaidWI

National Provider Directory

National Provider Directory

Locations

150 S Rosera St
Lena, WI 54139

102 N Main St
Ste A
Oconto Falls, WI 54154
Phone (920) 834-4049

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1902261571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST STE A",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541433",
            "telephone_number": "920-834-4049",
            "fax_number": "920-834-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST STE A",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541433",
            "telephone_number": "920-834-4049",
            "fax_number": "920-834-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY AT HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "BEAUMIA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "920-834-4049"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100042372",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconto Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.