Healthcare Provider Details

I. General information

NPI: 1790038966
Provider Name (Legal Business Name): STAYHOME CARE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2012
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 BONITA RD SUITE 206
CHULA VISTA CA
91910-3263
US

IV. Provider business mailing address

3130 BONITA RD SUITE 206
CHULA VISTA CA
91910-3263
US

V. Phone/Fax

Practice location:
  • Phone: 619-425-2273
  • Fax:
Mailing address:
  • Phone: 619-425-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. CANDONINO PAGADUAN FRANCHE
Title or Position: CEO
Credential:
Phone: 619-254-0967