MEDICARE: STAY HOME AFC

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	374U00000X	Home Health Aide
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1770228496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAY HOME AFC

Provider Business Mailing Address
First Line	:	1707 GAR HWY
Second Line	:
City	:	SWANSEA
State	:	MA
Zip	:	02777-3901
Country	:	US
Telephone Number	:	978-828-8887
Fax Number	:

Provider Business Practice Location Address
First Line	:	1707 GAR HWY
Second Line	:
City	:	SWANSEA
State	:	MA
Zip	:	02777-3901
Country	:	US
Telephone Number	:	978-828-8887
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ANTON PUKHOVITSKY
Credential	:
Telephone Number	:	978-828-8887

Provider Enumeration Date	:	04/28/2022
Last Update Date	:	03/12/2026

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Directions to “STAY HOME AFC ” Practice Location

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