Healthcare Provider Details

I. General information

NPI: 1043542947
Provider Name (Legal Business Name): HOME STEWARDS HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2010
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HAND AVE SUITE P
ORMOND BEACH FL
32174-8194
US

IV. Provider business mailing address

PO BOX 730114
ORMOND BEACH FL
32173-0114
US

V. Phone/Fax

Practice location:
  • Phone: 386-957-1945
  • Fax:
Mailing address:
  • Phone: 386-265-1964
  • Fax: 386-267-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MS. PAULINE KAMAU
Title or Position: FINANCIAL OFFICER
Credential:
Phone: 386-795-6617