Healthcare Provider Details

I. General information

NPI: 1689591588
Provider Name (Legal Business Name): STABLE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2052 DELAWARE ST
GARY IN
46407-2624
US

IV. Provider business mailing address

1727 ADAMS ST
GARY IN
46407-2146
US

V. Phone/Fax

Practice location:
  • Phone: 219-669-5779
  • Fax:
Mailing address:
  • Phone: 219-669-5779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: LARANZA M CARSON
Title or Position: CEO/ DIR OF OPERATIONS & SERVICES
Credential:
Phone: 219-669-5779