MEDICARE: SHIELDING ARMS HOME LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1013874502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIELDING ARMS HOME LLC

Provider Business Mailing Address
First Line	:	56 CONNECTICUT AVE
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2103
Country	:	US
Telephone Number	:	917-232-0315
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 CANAL ST
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-5921
Country	:	US
Telephone Number	:	917-232-0315
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	DICKSON KANKAM APPAU
Credential	:
Telephone Number	:	917-232-0315

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	02/16/2026

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