Organization Active NPI

Stewart's Village, Inc.

  • Home Health Agency
  • Villa Rica, GA
National Provider Identifier
1801093000
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E0000X Issued in GA
Legal business name
STEWART'S VILLAGE, INC.
Practice address
224 South Candler Street
Villa Rica, GA 30180-1825
Phone
(770) 459-2048
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mrs. Sonja TonpeaNPI 1316398100
Title
C.E.O.
Phone
(770) 459-2048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E0000X GA Primary

Addresses

Primary practice location

224 South Candler Street
Villa Rica, GA 30180-1825

Mailing address

224 S Candler St
Villa Rica, GA 30180-2603
Phone (770) 459-2048

Other identifiers 1

IdentifierTypeStateIssuer
000598606AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1801093000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S CANDLER ST",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802603",
            "telephone_number": "770-459-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SOUTH CANDLER STREET",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801825",
            "telephone_number": "770-459-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART'S VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "TONPEA",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "770-459-2048",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "251E0000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000598606A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.