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STEDFAST HOME CARE SERVICES LLC NPI 1568080786


NPI Information

NPI: 1568080786
Provider Name: STEDFAST HOME CARE SERVICES LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 11D2151386

Address:
478 NORTHDALE RD STE 201
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 299-1378
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STEDFAST HOME CARE SERVICES LLC is an in home supportive care in Lawrenceville, GA. The provider is 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. STEDFAST HOME CARE SERVICES LLC NPI is 1568080786. The provider is registered as an organization entity type.

The provider's business location address is:

478 NORTHDALE RD STE 201
LAWRENCEVILLE, GA
ZIP 30046-902
Phone: (770) 299-1378
Fax: (678) 878-4636

The provider's authorized official is Yolanda P Threat .
The authorized official title is Administrator and has the following contact phone number (770) 299-1378.

The CLIA number assigned to this NPI record is 11D2151386 - other - private home care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2020 and was last updated on 7/14/2020.


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
1253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1067-R-1804OTHERGEORGIAPRIVATE HOME CARE PROVIDER PERMIT

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

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