Provider Demographics
NPI:1508921180
Name:J & S STEWART INC
Entity Type:Organization
Organization Name:J & S STEWART INC
Other - Org Name:MINGO RESIDENTIAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-222-3086
Mailing Address - Street 1:24080 STATE HWY 51
Mailing Address - Street 2:
Mailing Address - City:PUXICO
Mailing Address - State:MO
Mailing Address - Zip Code:63960
Mailing Address - Country:US
Mailing Address - Phone:573-222-3086
Mailing Address - Fax:573-222-3028
Practice Address - Street 1:24080 STATE HWY 51
Practice Address - Street 2:
Practice Address - City:PUXICO
Practice Address - State:MO
Practice Address - Zip Code:63960
Practice Address - Country:US
Practice Address - Phone:573-222-3086
Practice Address - Fax:573-222-3028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO032771251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care