National Provider Identifier Database

CARESTAY RESIDENTIAL LIVING
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

CARESTAY RESIDENTIAL LIVING
329 43RD AVE
MERIDIAN, MS39307-6848
Phone: 901-580-7875
Fax:
Website:
Specialty Taxonomy Code
* Lodging 177F00000X
Meals 174200000X

* Indicates primary specialty

NPI Profile & details for CARESTAY RESIDENTIAL LIVING

NPI Number 1154297836
Legal business name
LBN
CARESTAY RESIDENTIAL LIVING
Authorized official CONBRIANNA EVANS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/10/2025
Last updated 10/10/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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