MEDICARE: STACY STEWART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1316806128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY STEWART

Provider Business Mailing Address
First Line	:	4815 NEW RD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44515-3833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 GOBEL AVE NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44704-2147
Country	:	US
Telephone Number	:	484-840-6599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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Directions to “ STACY STEWART ” Practice Location

Language	Start Address	Practice Location

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