Healthcare Provider Details

I. General information

NPI: 1730747304
Provider Name (Legal Business Name): A SHARP CLEAN & SPECIALTY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 09/20/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E LAMAR BLVD. SUITE 600
ARLINGTON TX
76006-7440
US

IV. Provider business mailing address

200 E LAMAR BLVD. STE 600
ARLINGTON TX
76006-7440
US

V. Phone/Fax

Practice location:
  • Phone: 682-320-4007
  • Fax: 682-354-4309
Mailing address:
  • Phone: 682-320-4007
  • Fax: 682-354-4309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAWNTAE SHARPE
Title or Position: ADMINISTRATOR
Credential:
Phone: 682-320-4007