MEDICARE: NEGSCAPE, 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
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1720947591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEGSCAPE, LLC.

Provider Business Mailing Address
First Line	:	1601 COURTNEY LN
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-3575
Country	:	US
Telephone Number	:	512-905-5009
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 COURTNEY LN
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-3575
Country	:	US
Telephone Number	:	512-905-5009
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SHEILA VICTORINE BOMA
Credential	:
Telephone Number	:	512-905-5009

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “NEGSCAPE, LLC. ” Practice Location

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