MEDICARE: STEADFAST IN HOME CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1669352589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEADFAST IN HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2246 S HAMILTON RD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4317
Country	:	US
Telephone Number	:	607-425-9706
Fax Number	:	607-425-9706

Provider Business Practice Location Address
First Line	:	2246 S HAMILTON RD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4317
Country	:	US
Telephone Number	:	607-425-9706
Fax Number	:	607-425-9706

Authorized Official
Title or Position	:	OWNER
Name	:	MS. QUEEN HEFFRON
Credential	:
Telephone Number	:	607-425-9706

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	03/04/2026

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