MEDICARE: SHEPCARE HEALTHCARE

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	:	1912398686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEPCARE HEALTHCARE

Provider Business Mailing Address
First Line	:	828 SAN PABLO AVE STE 216
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1564
Country	:	US
Telephone Number	:	510-355-8925
Fax Number	:	510-217-4071

Provider Business Practice Location Address
First Line	:	828 SAN PABLO AVE STE 216
Second Line	:
City	:	ALBANY
State	:	CA
Zip	:	94706-1564
Country	:	US
Telephone Number	:	510-355-8925
Fax Number	:	510-217-4071

Authorized Official
Title or Position	:	OWNER
Name	:	JOYETTE SMALL
Credential	:
Telephone Number	:	510-355-8925

Provider Enumeration Date	:	02/16/2015
Last Update Date	:	02/16/2015

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Directions to “SHEPCARE HEALTHCARE ” Practice Location

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