Provider Demographics
NPI:1528622511
Name:HOMESTEWARDS LLC
Entity type:Organization
Organization Name:HOMESTEWARDS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLIENT RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-299-2398
Mailing Address - Street 1:4004 58TH PL SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3509
Mailing Address - Country:US
Mailing Address - Phone:410-299-2398
Mailing Address - Fax:
Practice Address - Street 1:5701 3RD AVE S STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2437
Practice Address - Country:US
Practice Address - Phone:206-347-3030
Practice Address - Fax:206-347-3031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care