MEDICARE: MRS. SHEMIKA LUTWIANE GOURDINE

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility		TX

General Provider Information

NPI Number	:	1508325218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEMIKA LUTWIANE GOURDINE

Provider Business Mailing Address
First Line	:	1521 SHERWOOD FOREST ST APT 1508
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-3605
Country	:	US
Telephone Number	:	832-434-6790
Fax Number	:	832-409-6606

Provider Business Practice Location Address
First Line	:	1521 SHERWOOD FOREST ST APT 1508
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-3605
Country	:	US
Telephone Number	:	832-434-6790
Fax Number	:	832-409-6606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	03/13/2019

Similar Medicare Providers

1275709412 — MS. IESHA ISHEA GRANT APRN-BC
Practice Location Address:

2501 DALLAS ST
HOUSTON, TX
77003-3605

Practice Phone: 713-222-2448
Practice Fax:

1134673072 — PEACE OF MIND ADULT DAY CARE CENTER
Practice Location Address:

3355 FM 1960 RD W
HOUSTON, TX
77068-3605

Practice Phone: 281-537-1966
Practice Fax:

1386200178 — THADDIEUS A REED
Practice Location Address:

3605 WILMINGTON ST
HOUSTON, TX
77051-3248

Practice Phone: 832-902-1831
Practice Fax:

1790338127 — RIVER OAKS CONCIERGE ADULT CARE SERVICES LLC
Practice Location Address:

2201 FOUNTAIN VIEW DR APT 1J
HOUSTON, TX
77057-3605

Practice Phone: 832-715-4445
Practice Fax:

1861117830 — KATHY S. BATES
Practice Location Address:

2230 LAUREL OAKS DR
HOUSTON, TX
77014-3605

Practice Phone: 832-818-2796
Practice Fax:

1073634762 — EDUCARE COMMUNITY LIVING CORPORATION - GULF COAST
Practice Location Address:

2803 QUINCANNON LN
HOUSTON, TX
77043-1603

Practice Phone: 713-690-3127
Practice Fax:

Directions to “ MRS. SHEMIKA LUTWIANE GOURDINE ” 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.