Active NPI
Stay at Homecare LLC
- In Home Supportive Care Agency
- Oconto Falls, WI
National Provider Identifier
1902261571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100042372 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis (St. Vincent Hospital-Libertas of Oconto Falls)
- St. Clare Memorial Hospital, Inc (HSHS SCO Regional Surgery Center Oconto Falls)
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis (St. Vincent Regional Cancer Center)
- Kylie Michelle Starry, PHARMD
- Timothy Patrick Starry, R.PH.
- Jayne M Stefanic, ISW
- Desirae Jo Steier, PT, DPT
- Michael J Stiennon
- Oscar Arthur Stiennon III, M.D.
- Antonio C. Talens, M.D.
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.