Provider Demographics
NPI:1346571825
Name:STEWARD HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:STEWARD HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSAMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DON
Authorized Official - Phone:817-501-4816
Mailing Address - Street 1:1220 BROWN TRL
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-8004
Mailing Address - Country:US
Mailing Address - Phone:817-545-7878
Mailing Address - Fax:469-675-6507
Practice Address - Street 1:1220 BROWN TRL
Practice Address - Street 2:SUITE B
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-8004
Practice Address - Country:US
Practice Address - Phone:817-545-7878
Practice Address - Fax:469-675-6507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX452295251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747587Medicare Oscar/Certification