MEDICARE: HOUSE OF SHILOH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	163WW0000X	Wound Care Registered Nurse
4	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1558205336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE OF SHILOH LLC

Provider Business Mailing Address
First Line	:	3604 S COOPER ST STE 110
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3482
Country	:	US
Telephone Number	:	682-252-2443
Fax Number	:

Provider Business Practice Location Address
First Line	:	3604 S COOPER ST STE 110
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3482
Country	:	US
Telephone Number	:	682-252-2443
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VIOLET NWOKOYE
Credential	:	LPC
Telephone Number	:	817-729-7577

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “HOUSE OF SHILOH LLC ” Practice Location

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