MEDICARE: STEWARD HOME HEALTH CARE SERVICE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1407702822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEWARD HOME HEALTH CARE SERVICE LLC

Provider Business Mailing Address
First Line	:	12725 W INDIAN SCHOOL RD STE E101
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85392-9525
Country	:	US
Telephone Number	:	713-907-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	8613 N KATAPA TRL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-4808
Country	:	US
Telephone Number	:	713-907-1133
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	PHILLIP D STEWARD
Credential	:
Telephone Number	:	713-907-1133

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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