Provider Demographics
NPI:1669253266
Name:KENDREA STEWARD HEALTHCARE LLC
Entity type:Organization
Organization Name:KENDREA STEWARD HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDREA
Authorized Official - Middle Name:SHERESE
Authorized Official - Last Name:STEWARD
Authorized Official - Suffix:
Authorized Official - Credentials:INDEPENDENT PROVIDER
Authorized Official - Phone:216-640-4199
Mailing Address - Street 1:1958 KRESGE DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-1256
Mailing Address - Country:US
Mailing Address - Phone:440-370-3309
Mailing Address - Fax:
Practice Address - Street 1:1958 KRESGE DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-1256
Practice Address - Country:US
Practice Address - Phone:440-370-3309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care