MEDICARE: SH HOME CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	376J00000X	Homemaker	IA
2	374U00000X	Home Health Aide	IA
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1689184244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SH HOME CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	2616 1ST AVE NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4945
Country	:	US
Telephone Number	:	319-826-6608
Fax Number	:	319-826-6611

Provider Business Practice Location Address
First Line	:	2616 1ST AVE NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4945
Country	:	US
Telephone Number	:	319-826-6608
Fax Number	:	319-826-6611

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE RAE HUMPHRIES
Credential	:	MPT
Telephone Number	:	319-826-6608

Provider Enumeration Date	:	10/09/2017
Last Update Date	:	10/27/2025

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Directions to “SH HOME CARE SERVICES, LLC ” Practice Location

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