STAY HOME NURSING SERVICES LLC (NPI# 1306483581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306483581 |
| Entity Type | Organization |
| Organization Name | STAY HOME NURSING SERVICES LLC |
| Practice Address |
11084 Torino Dr Hampton GA 30228-6446 |
| Mailing Address |
Po Box 926 Mcdonough GA 30253-0926 |
| Practice Telephone | 6788155446 |
| Practice Fax Number | 7708728267 |
| Mailing Telephone | 6788155446 |
| Mailing Fax Number | 7708728267 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | MS. JACQUELINE EDWARDS (OWNER) |
| Authorized Official Telephone | 6782377183 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251T00000X | PACE Provider Organization | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PRIVATE 3RD PARTY PAY | 002 | 01 |
| IN | 02 | 05 | |
| GA | 01 | 05 | |
| GA | PRIVATE OTHER 3RD PARTY PAY | 001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10868 Tealpoint Dr, Indianapolis, IN 462293435 | 6782377183 | 7708728267 |
| Street Address |
11084 TORINO DR |
| City | HAMPTON |
| State | GA |
| Zip Code | 30228-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497386833 | Chariots Await Transport LLC. | Non-emergency Medical Transport (VAN) | 11084 Torino Dr, Hampton, GA 30228-6446 | 2020-02-03 |
| 1083121032 | Wanda J. Harris | Registered Nurse | 11084 Torino Dr, Hampton, GA 30228-6446 | 2017-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1487295044 | Living Testimony Homecare, LLC | Home Health | 10833 Southwood Drive, Hampton, GA 30228 | 2019-10-04 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1720506231 | O'reilly Comprehensive Dermatology, Inc. | Dermatology | 755 Mount Vernon Hwy., Suite 330, Atlanta, GA 30228 | 2017-09-05 |
| 1720500648 | Sophia Demetria Edwards | Home Health Aide | 2059 Grove Way, Hampton, GA 30228 | 2017-07-12 |
| 1083143432 | Ciera Jayna Scales | Dentist | 144 Revolutionary Dr, Hampton, GA 30228 | 2017-06-08 |
| 1811446438 | Alwarna Pasteur | Contractor | 1419 Hyde Court, Hampton, GA 30228 | 2016-09-23 |
| 1932599370 | Corlyn Doolittle | Speech-Language Pathologist | 412 Lakeside Villa Dr, Lovejoy, GA 30228 | 2015-01-23 |
| 1114367596 | Mayer Counseling Services,llc | Counselor | 591 Toronto Circle, Hampton, GA 30228 | 2013-06-28 |
| 1932544269 | Eye Can See Eyewear Inc. | Technician/Technologist | 22 E. Main St. N., Hampton, GA 30228 | 2013-04-30 |
| Find all providers in zip 30228 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170579 | Amazing Nurses Home Care LLC | Home Health | 217 Brightwood Ave, Hampton, VA 23661-1610 | 2020-07-06 |
| 1932728243 | Jonneitta U James | Home Health | 136 Pochin Pl, Hampton, VA 23661-3329 | 2020-04-16 |
| 1003442823 | A Generous Heart Home Care | Home Health | 2 Eaton St Ste 1104, Hampton, VA 23669-4054 | 2020-03-13 |
| 1538793534 | Ernia Nechelle Era | Home Health | 1557 Lovejoy Rd, Hampton, GA 30228-1561 | 2020-02-27 |
| 1518597806 | Serving Extra Care LLC | Home Health | 2597 Lake Erma Dr, Hampton, GA 30228-6085 | 2020-01-25 |
| 1487295044 | Living Testimony Homecare, LLC | Home Health | 10833 Southwood Drive, Hampton, GA 30228 | 2019-10-04 |
| 1669030920 | Living A Blessed Life Home Health Care | Home Health | 364 N First Street, Hampton, VA 23664 | 2019-06-03 |
| 1528625472 | Angel Wings Family Services of Hampton LLC | Home Health | 2019 Cunningham Dr Ste 220, Hampton, VA 23666-3316 | 2019-05-28 |
| 1477118859 | Dalia M Thompson | Home Health | 237 Libby St, Hampton, VA 23663-2256 | 2019-05-01 |
| 1790240109 | Valentina Pharms-mcneill | Home Health | 390 Windpher Rdg, Hampton, GA 30228-5592 | 2019-02-10 |
| Find all providers in HAMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.