Provider Demographics
NPI:1578444147
Name:STAY HOME WITH US
Entity type:Organization
Organization Name:STAY HOME WITH US
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JIMAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN
Authorized Official - Phone:313-395-4923
Mailing Address - Street 1:18633 MACKAY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-1484
Mailing Address - Country:US
Mailing Address - Phone:313-395-4923
Mailing Address - Fax:
Practice Address - Street 1:18633 MACKAY ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-1484
Practice Address - Country:US
Practice Address - Phone:313-395-4923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility