Provider Demographics
NPI:1588464721
Name:STAND BY ME HOME CARE LLC
Entity type:Organization
Organization Name:STAND BY ME HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:888-467-3228
Mailing Address - Street 1:3430 E FLAMINGO RD STE 238
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5020
Mailing Address - Country:US
Mailing Address - Phone:888-846-7322
Mailing Address - Fax:
Practice Address - Street 1:3430 E FLAMINGO RD STE 238
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5020
Practice Address - Country:US
Practice Address - Phone:888-467-3228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care