Organization Active NPI

Stewart Community Home, Inc.

  • Assisted Living Facility (Mental Illness)
  • Columbus, GA
National Provider Identifier
1083215842
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
STEWART COMMUNITY HOME, INC.
Practice address
1125 15TH St
Columbus, GA 31901-2219
Phone
(706) 507-7030
Fax
(706) 327-9507
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kara Joelle Vinzant
Title
Executive Director
Phone
(706) 507-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

1125 15TH St
Columbus, GA 31901-2219

Mailing address

PO Box 4279
Columbus, GA 31914-0279
Phone (706) 341-7750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kvinzant@stewartcommunityhome.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0964136Stewart Community Personal Care Home1125 15TH Street, Columbus, GA 31901Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1083215842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4279",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319140279",
            "telephone_number": "706-341-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 15TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012219",
            "telephone_number": "706-507-7030",
            "fax_number": "706-327-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART COMMUNITY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "VINZANT",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "JOELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-507-7030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvinzant@stewartcommunityhome.com",
            "affiliation": "N",
            "endpointDescription": "Closed email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 15th St",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319012219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.