# HOME STAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homestay Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376354530
- **Authorized official:** KAMMIE L DIXON (OWNER)
- **Authorized official phone:** (317) 792-0223

## Contact information

- **Practice address:** HOMESTAY HOME CARE, 1839 ROBIN RD SUITE 106, MARTINSVILLE, IN 46151-3040
- **Practice address phone:** (317) 792-0223
- **Mailing address:** 1040 E 86TH ST STE 46C, INDIANAPOLIS, IN 46240-1857
- **Mailing address phone:** (317) 792-0223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2025
- **Last updated:** 01/16/2025