Healthcare Provider Details

I. General information

NPI: 1871203646
Provider Name (Legal Business Name): A GOOD STEWARD COMPANION SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12946 SHINING BLUE NILE LN
PARRISH FL
34219-2431
US

IV. Provider business mailing address

12946 SHINING BLUE NILE LN
PARRISH FL
34219
US

V. Phone/Fax

Practice location:
  • Phone: 941-465-5551
  • Fax:
Mailing address:
  • Phone: 941-465-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JAMAL DONALD HOWARD
Title or Position: OWNER
Credential:
Phone: 941-465-5551