Active NPI
Kelvin L Stewart
- Adult Care Home Facility
- Moundville, AL
National Provider Identifier
1104735794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 16444 Waterbury LN
Moundville, AL 35474-6231 - Phone
- (205) 826-5476
- NPI assigned
- Sep 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
16444 Waterbury LN
Moundville, AL 35474-6231
Mailing address
16444 Waterbury LN
Moundville, AL 35474-6231
Phone (205) 826-5476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1104735794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16444 WATERBURY LN",
"city": "MOUNDVILLE",
"state": "AL",
"postal_code": "354746231",
"telephone_number": "205-826-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16444 WATERBURY LN",
"city": "MOUNDVILLE",
"state": "AL",
"postal_code": "354746231",
"telephone_number": "205-826-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KELVIN",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moundville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.