Organization Active NPI

Stewart Community Services, Inc.

  • Home Health Agency
  • Lithonia, GA
National Provider Identifier
1730234998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
044-R-012 Issued in GA
Legal business name
STEWART COMMUNITY SERVICES, INC.
Practice address
1883 Madras CT
Lithonia, GA 30058-5482
Phone
(770) 808-0873
Fax
(770) 808-0547
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Wesley Stewart III
Title
Ceo
Phone
(770) 808-0873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 044-R-012 GA Primary

Addresses

Primary practice location

1883 Madras CT
Lithonia, GA 30058-5482

Mailing address

1883 Madras CT
Lithonia, GA 30058-5482
Phone (770) 808-0873

Other identifiers 1

IdentifierTypeStateIssuer
00918464AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730234998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 MADRAS CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585482",
            "telephone_number": "770-808-0873",
            "fax_number": "770-808-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 MADRAS CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585482",
            "telephone_number": "770-808-0873",
            "fax_number": "770-808-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-808-0873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-R-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00918464A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.