Healthcare Provider Details

I. General information

NPI: 1437074531
Provider Name (Legal Business Name): STAYING HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 N PACIFIC COAST HWY STE 11-158
EL SEGUNDO CA
90245-5648
US

IV. Provider business mailing address

222 N PACIFIC COAST HWY STE 11-158
EL SEGUNDO CA
90245-5648
US

V. Phone/Fax

Practice location:
  • Phone: 310-853-3707
  • Fax:
Mailing address:
  • Phone: 310-853-3707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANGELICA GONZALEZ
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 310-853-3707