NPI Code Details Logo

NPI 1972483873

NPI 1972483873 : STEADFAST IN HOME CARE SERVICES LLC : COLUMBUS, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1972483873
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    STEADFAST IN HOME CARE SERVICES LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/03/2025
-----------------------------------------------------
    Last Update Date     |    01/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2246 S HAMILTON RD STE 200 
-----------------------------------------------------
    City                 |    COLUMBUS
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43232-4317
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    607-425-9706
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11 MINEAH RD APT 1A 
-----------------------------------------------------
    City                 |    FREEVILLE
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13068-9574
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    607-425-9706
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MS. QUEEN  HEFFRON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    607-425-9706
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.