MEDICARE: SHEILAS ANGELS IN- HOME 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1669713764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEILAS ANGELS IN- HOME CARE, LLC

Provider Business Mailing Address
First Line	:	1350 NASA PKWY
Second Line	:	ST 204
City	:	HOUSTON
State	:	TX
Zip	:	77058-3174
Country	:	US
Telephone Number	:	281-480-4846
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 NASA PKWY
Second Line	:	ST 204
City	:	HOUSTON
State	:	TX
Zip	:	77058-3174
Country	:	US
Telephone Number	:	281-480-4846
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHELIA S PERRINE
Credential	:
Telephone Number	:	832-466-9689

Provider Enumeration Date	:	03/14/2013
Last Update Date	:	04/06/2017

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