Stash Home Care Agency LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

STASH HOME CARE AGENCY LLC

Practice address

3709 Raeford Rd Ste 118
Fayetteville, NC 28304-3351

Phone

(910) 849-9025

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Ashley Denise Walker

Title

Owner

Phone

(910) 849-9025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1902580244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 RAEFORD RD STE 118",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043351",
            "telephone_number": "910-849-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 RAEFORD RD STE 118",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043351",
            "telephone_number": "910-849-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STASH HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-849-9025"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Freedom
• Aminah Starks
• Jacqueline Humphrey Starks, LPTA
• Quenicia Nobles Starks, MSOT, OTR/L
• Teressa Starr, DO
• Kimberly Marie Staszko, CRNA
• Statcare, LLC (StatCare Urgent Care Clinic)
• Statcare,LLC
• State of NC Division of Health Services
• Aniyah Staton

• Nursing Home Administrator in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Nursing Home Administrator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.