Good Stewart Living, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GOOD STEWART LIVING, LLC

Practice address

869 E Tuscarawas Ave
Barberton, OH 44203-3721

Phone

(330) 687-6181

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Alan Stewart

Title

President

Phone

(330) 687-6181

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1740886969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E TUSCARAWAS AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033721",
            "telephone_number": "330-687-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 E TUSCARAWAS AVE",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033721",
            "telephone_number": "330-687-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD STEWART LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-687-6181"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Giles, D.O.
• Paul Edward Glass, DPT
• Glenn R Black MD Inc
• Pamela Godby
• Marcy Gonczy, CNP
• Tamika Towana Goodson
• Lula Deon Gordon
• Natalie Paige Granat, LSW
• Amy L Gray, LPCC-S
• Jennifer Dawn Green, APRN-CNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Barberton, OH
• Providers in Barberton, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.