NPI Code Details Logo

NPI 1124996681

NPI 1124996681 : STEWARD MARTIN HOMECARE LLC : SAGINAW, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1124996681
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    STEWARD MARTIN HOMECARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/27/2025
-----------------------------------------------------
    Last Update Date     |    10/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4114 GALLAGHER ST 
-----------------------------------------------------
    City                 |    SAGINAW
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48601-4228
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    989-598-9495
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4114 GALLAGHER ST 
-----------------------------------------------------
    City                 |    SAGINAW
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48601-4228
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    989-598-9495
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MARQUITA  WELLS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    989-598-9495
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.