MEDICARE: SHAMA HOME HEALTH CARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1205781564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAMA HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	136 S ILLINOIS AVE STE 208
Second Line	:
City	:	OAK RIDGE
State	:	TN
Zip	:	37830-6220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 S ILLINOIS AVE STE 208
Second Line	:
City	:	OAK RIDGE
State	:	TN
Zip	:	37830-6220
Country	:	US
Telephone Number	:	865-320-8467
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SIMONE HIXSON
Credential	:	LPN
Telephone Number	:	865-414-0458

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/18/2026

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