STEDFAST HOME CARE SERVICES LLC (NPI# 1568080786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568080786 |
| Entity Type | Organization |
| Organization Name | STEDFAST HOME CARE SERVICES LLC |
| Practice Address |
478 Northdale Rd Ste 201 Lawrenceville GA 30046-8902 |
| Practice Telephone | 7702991378 |
| Practice Fax Number | 6788784636 |
| Mailing Telephone | 7702991378 |
| Mailing Fax Number | 6788784636 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | YOLANDA P THREAT (ADMINISTRATOR) |
| Authorized Official Telephone | 7702991378 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PRIVATE HOME CARE PROVIDER PERMIT | 067-R-1804 | 01 |
| Other Name | Type Code |
|---|---|
| Stedfast Home Care Services, LLC | Doing Business As Name - Organization |
| Street Address |
478 NORTHDALE RD STE 201 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929150 | Yolanda P Threat | Registered Nurse | 478 Northdale Rd Ste 201, Lawrenceville, GA 30046-8902 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
| 1225648330 | Capri Homecare LLC | In Home Supportive Care | 97 Daisy Meadow Trl, Lawrenceville, GA 30044-4685 | 2020-08-04 |
| 1184248015 | Dynamic Nursing LLC | In Home Supportive Care | 405 Philip Blvd Apt 910, Lawrenceville, GA 30046-8758 | 2020-06-06 |
| 1902443393 | Gina's Love LLC. | In Home Supportive Care | 779 Braselton Hwy, Lawrenceville, GA 30043-4510 | 2019-12-04 |
| 1285295030 | Prosperity Home Care, LLC | In Home Supportive Care | 1422 Fountain View Dr, Lawrenceville, GA 30043-3990 | 2019-06-24 |
| 1558928903 | Passion To Care Home Care LLC | In Home Supportive Care | 250 Langley Dr Ste 1114, Lawrenceville, GA 30046-6932 | 2019-05-21 |
| 1770020067 | Touching Lives Home Care LLC | In Home Supportive Care | 377 W Pike St, A-3, Lawrenceville, GA 30046-4881 | 2017-01-24 |
| 1174916027 | Nightingales Medical Agency | In Home Supportive Care | 889 Short St, Lawrenceville, GA 30046-6155 | 2015-03-16 |
| 1851794861 | Stable Care Services, Inc | In Home Supportive Care | 1763 Taylor Oaks Dr, Lawrenceville, GA 30043-1525 | 2014-10-03 |
| 1174952444 | Aplomb Home Care, LLC | In Home Supportive Care | 2377 Lake Ridge Ter, Lawrenceville, GA 30043-6066 | 2013-11-06 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.