Provider Demographics
NPI:1346046927
Name:HOMESTEWARDS LLC
Entity type:Organization
Organization Name:HOMESTEWARDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OT/CNA/PT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITRISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFICATION CMA
Authorized Official - Phone:602-596-1404
Mailing Address - Street 1:16255 NE 87TH ST APT 302
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-7395
Mailing Address - Country:US
Mailing Address - Phone:602-596-1404
Mailing Address - Fax:
Practice Address - Street 1:5701 W 3RD ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108
Practice Address - Country:US
Practice Address - Phone:602-596-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIM COLLINS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH286881389OtherEMPLOYMENT AGENCY