Healthcare Provider Details

I. General information

NPI: 1275477309
Provider Name (Legal Business Name): NEYSA STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4751 GEORGIA ST
GARY IN
46409-2621
US

IV. Provider business mailing address

453 E 78TH PL
MERRILLVILLE IN
46410-5657
US

V. Phone/Fax

Practice location:
  • Phone: 219-237-4212
  • Fax:
Mailing address:
  • Phone: 219-677-2696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number30004734A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: