MEDICARE: SHEPHERD HOME HEALTH INC

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

General Provider Information

NPI Number	:	1841446051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEPHERD HOME HEALTH INC

Provider Business Mailing Address
First Line	:	10935 ESTATE LN
Second Line	:	SUITE 100-O
City	:	DALLAS
State	:	TX
Zip	:	75238-2316
Country	:	US
Telephone Number	:	972-904-4292
Fax Number	:

Provider Business Practice Location Address
First Line	:	10935 ESTATE LN
Second Line	:	SUITE 100-O
City	:	DALLAS
State	:	TX
Zip	:	75238-2316
Country	:	US
Telephone Number	:	972-904-4292
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. HELEN OSAGIEDE
Credential	:	B.SC
Telephone Number	:	972-904-4292

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	06/21/2018

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