MEDICARE: STAY HOME CARE, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1861950594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAY HOME CARE, INC

Provider Business Mailing Address
First Line	:	433 AIRPORT BLVD STE 109
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-2037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 AIRPORT BLVD STE 109
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-2037
Country	:	US
Telephone Number	:	650-373-2101
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAN BISHOP
Credential	:
Telephone Number	:	650-373-2101

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	03/12/2019

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Directions to “STAY HOME CARE, INC ” Practice Location

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