Healthcare Provider Details

I. General information

NPI: 1477835577
Provider Name (Legal Business Name): STAY IN HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2011
Last Update Date: 09/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 400TH ST
ROYAL IA
51357-7541
US

IV. Provider business mailing address

1420 400TH ST
ROYAL IA
51357-7541
US

V. Phone/Fax

Practice location:
  • Phone: 712-346-7019
  • Fax:
Mailing address:
  • Phone: 712-346-7019
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ALLIE J MCCARTY
Title or Position: LICENSED NURSING HOME ADMINISTATOR
Credential:
Phone: 712-346-7019