Healthcare Provider Details
I. General information
NPI: 1578453072
Provider Name (Legal Business Name): GRACE STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/07/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 GALVIN RD S STE 102
BELLEVUE NE
68005-2255
US
IV. Provider business mailing address
701 GALVIN RD S STE 102
BELLEVUE NE
68005-2255
US
V. Phone/Fax
- Phone: 402-917-8225
- Fax:
- Phone: 402-917-8225
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | NE |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: