MEDICARE: SHINEWELL SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	251B00000X	Case Management Agency
3	253Z00000X	In Home Supportive Care Agency
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1982546685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINEWELL SERVICES LLC

Provider Business Mailing Address
First Line	:	331 FOREST CENTER DR APT 622
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5298
Country	:	US
Telephone Number	:	216-855-2552
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 FOREST CENTER DR APT 622
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5298
Country	:	US
Telephone Number	:	216-855-2552
Fax Number	:

Authorized Official
Title or Position	:	MANGER
Name	:	SUE GARRETT
Credential	:
Telephone Number	:	216-855-2552

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

Similar Medicare Providers

1376496927 — THRONDA DELOACH
Practice Location Address:

331 FOREST CENTER DR APT 622
KINGWOOD, TX
77339-5298

Practice Phone: 216-855-2552
Practice Fax:

1932052594 — LADD SERVICES LLC
Practice Location Address:

331 FOREST CENTER DR APT 622
KINGWOOD, TX
77339-5298

Practice Phone: 216-855-2552
Practice Fax:

1265374813 — TANIYAH BUFORD
Practice Location Address:

2825 W TOWN CIR
KINGWOOD, TX
77339

Practice Phone: 281-570-2420
Practice Fax:

1679102693 — MAMIE MARGUERITE ROBINSON MD
Practice Location Address:

22999 HIGHWAY 59 N
KINGWOOD, TX
77339-4412

Practice Phone: 281-348-3320
Practice Fax:

1659038792 — BARIATRIC AND GENERAL SURGERY OF KINGWOOD, PLLC
Practice Location Address:

855 ROCKMEAD DR STE 202
KINGWOOD, TX
77339-2880

Practice Phone: 281-825-5100
Practice Fax: 281-825-5101

1013850650 — DEBORAH BRASHER GRECO SOLE MBMR
Practice Location Address:

700 ROCKMEAD DR STE 205
KINGWOOD, TX
77339-2106

Practice Phone: 713-504-0378
Practice Fax:

Directions to “SHINEWELL SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.