Organization
STAY AT HOME HEALTHCARE SERVICES, LLC
Active
Parent organization
STAY AT HOME HEALTHCARE SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STAY AT HOME HEALTHCARE SERVICES, LLC
Authorized official
RANDALL I HATA (TREASURER)
(808) 791-4496
Entity
Organization
Contact information
Practice address
2943 KRESS ST, LIHUE, HI 96766-1815
(808) 246-6919
Mailing address
45-181 WAIKALUA RD, KANEOHE, HI 96744-2765
(808) 247-0003
(808) 247-0018
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804171
—
HI
Enumeration date
10/27/2020
Last updated
01/19/2021
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