Provider Demographics
NPI:1588454425
Name:STELLA'S HOUSE LLC
Entity type:Organization
Organization Name:STELLA'S HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YIANNES
Authorized Official - Middle Name:
Authorized Official - Last Name:KACOYIANNI
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:410-991-0712
Mailing Address - Street 1:1237 TYLER AVE
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-1702
Mailing Address - Country:US
Mailing Address - Phone:410-991-0712
Mailing Address - Fax:
Practice Address - Street 1:1197 TYLER AVE
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-1932
Practice Address - Country:US
Practice Address - Phone:410-991-0712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging