MEDICARE: SHS 8055

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1437044930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHS 8055

Provider Business Mailing Address
First Line	:	8055 WINE BARREL LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-1393
Country	:	US
Telephone Number	:	972-694-0018
Fax Number	:

Provider Business Practice Location Address
First Line	:	8055 WINE BARREL LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-1393
Country	:	US
Telephone Number	:	972-694-0018
Fax Number	:

Authorized Official
Title or Position	:	VP OPERATIONS
Name	:	ASHA INDOORI
Credential	:
Telephone Number	:	972-694-0018

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	08/29/2025

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Directions to “SHS 8055 ” Practice Location

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