Provider Demographics
NPI:1144545708
Name:STAY WELL HOME HEALTH, LLC
Entity type:Organization
Organization Name:STAY WELL HOME HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-605-2701
Mailing Address - Street 1:4000 EXECUTIVE PARK DR STE 225
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-4009
Mailing Address - Country:US
Mailing Address - Phone:513-297-4555
Mailing Address - Fax:513-297-4588
Practice Address - Street 1:4000 EXECUTIVE PARK DR STE 225
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-4009
Practice Address - Country:US
Practice Address - Phone:513-297-4555
Practice Address - Fax:513-297-4588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3137975Medicaid
OH368339Medicare Oscar/Certification