MEDICARE: DONNA SHAWNTA STEWART CDCA

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	251E00000X	Home Health Agency
2	171M00000X	Case Manager/Care Coordinator	173944	OH

General Provider Information

NPI Number	:	1437872090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA SHAWNTA STEWART CDCA

Provider Business Mailing Address
First Line	:	2728 EUCLID AVE STE 400
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2429
Country	:	US
Telephone Number	:	216-236-3028
Fax Number	:

Provider Business Practice Location Address
First Line	:	18975 VILLAVIEW RD STE 2
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-3053
Country	:	US
Telephone Number	:	216-618-0635
Fax Number	:

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

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	03/11/2026

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Directions to “ DONNA SHAWNTA STEWART CDCA” Practice Location

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