Active NPI
Stewart Legacy Healthcare Services
- Child Intellectual and/or Developmental Disabilities Respite Care
- Phoenix, AZ
National Provider Identifier
1376338335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- STEWART LEGACY HEALTHCARE SERVICES
- Practice address
- 4539 N 22ND St Ste B
Phoenix, AZ 85016-4639 - Phone
- (702) 859-7797
- NPI assigned
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Armani Raquan Houston-Gray
- Title
- Ceo
- Phone
- (702) 859-7797
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Homemaker | 376J00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
4539 N 22ND St Ste B
Phoenix, AZ 85016-4639
Mailing address
4539 N 22ND St Ste B
Phoenix, AZ 85016-4639
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744416000000",
"number": "1376338335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "702-859-7797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWART LEGACY HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-10",
"last_updated": "2025-04-12",
"certification_date": "2025-04-12",
"status": "A",
"authorized_official_last_name": "HOUSTON-GRAY",
"authorized_official_first_name": "ARMANI",
"authorized_official_middle_name": "RAQUAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-859-7797"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.