Provider Demographics
NPI:1295846277
Name:LINDA S. STEWART
Entity Type:Organization
Organization Name:LINDA S. STEWART
Other - Org Name:GRACE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-822-3055
Mailing Address - Street 1:2458 HARRY WURZBACH RD
Mailing Address - Street 2:1B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5002
Mailing Address - Country:US
Mailing Address - Phone:210-822-3055
Mailing Address - Fax:210-822-3044
Practice Address - Street 1:2458 HARRY WURZBACH RD
Practice Address - Street 2:1B
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5002
Practice Address - Country:US
Practice Address - Phone:210-822-3055
Practice Address - Fax:210-822-3044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0010504251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0010504OtherHOME HEALTH LICENSE