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STAY HOME I WILL LLC NPI 1023562279


NPI Information

NPI: 1023562279
Provider Name: STAY HOME I WILL, LLC

Doing Business As: CONCIERGE CONNECTED CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D2141916

Address:
11201 SANDUSKY ST STE 101
PERRYSBURG, OH
ZIP 43551
Phone: (419) 214-1213
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STAY HOME I WILL, LLC is a family medicine in Perrysburg, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. STAY HOME I WILL, LLC NPI is 1023562279. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Concierge Connected Care.

The provider's business location address is:

11201 SANDUSKY ST STE 101
PERRYSBURG, OH
ZIP 43551-130
Phone: (419) 214-1213
Fax: (419) 214-0783

The provider's authorized official is Radharamanamurthy Gokula .
The authorized official title is President/ceo and has the following contact phone number (419) 214-1213.

The CLIA number assigned to this NPI record is 36D2141916 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 1/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35-089833OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.