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General NPI Number Information
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NPI Number | 1689591588
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Entity Type | Organization
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Legal Business Name | STABLE HOME CARE LLC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 2052 DELAWARE ST
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City | GARY
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State | IN
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Zip | 46407-2624
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Country | US
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Telephone | 219-669-5779
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Fax |
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Provider Business Mailing Address
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Address Line | 1727 ADAMS ST
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City | GARY
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State | IN
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Zip | 46407-2146
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Country | US
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Telephone | 219-669-5779
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Fax |
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Authorized Official
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Title or Position | CEO/ DIR OF OPERATIONS & SERVICES
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Name | LARANZA M CARSON
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Credential |
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Telephone | 219-669-5779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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