MEDICARE: ALWAYS STAY HOME NURSING SERVICE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124025119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALWAYS STAY HOME NURSING SERVICE INC.

Provider Business Mailing Address
First Line	:	11633 HAWTHORNE BLVD
Second Line	:	SUITE 220
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-2321
Country	:	US
Telephone Number	:	310-219-2857
Fax Number	:	310-973-3606

Provider Business Practice Location Address
First Line	:	11633 HAWTHORNE BLVD
Second Line	:	SUITE 220
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-2321
Country	:	US
Telephone Number	:	310-219-2857
Fax Number	:	310-973-3606

Authorized Official
Title or Position	:	CEO / ADMINISTRATOR
Name	:	SYLVIA KENNEDY
Credential	:
Telephone Number	:	310-213-2737

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	12/19/2023

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Directions to “ALWAYS STAY HOME NURSING SERVICE INC. ” Practice Location

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