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General NPI Number Information
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NPI Number | 1376996280
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Entity Type | Organization
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Legal Business Name | STEWART MED SERVICES LLC
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 1130 S RANGE AVE STE C
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4827
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Country | US
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Telephone | 225-398-4553
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Fax | 225-208-7005
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Provider Business Mailing Address
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Address Line | 25678 PALMWOOD CT
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-6598
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIERRA H STEWART
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Credential | RN
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Telephone | 225-308-4553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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