NPIMap

Organization Active NPI

Shoshana Home Care LLC

  • In Home Supportive Care Agency
  • Stafford, TX
National Provider Identifier
1033620448
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
018212 Issued in TX
Legal business name
SHOSHANA HOME CARE LLC
Practice address
920 FM 1092 Rd Ste 215
Stafford, TX 77477-5975
Phone
(281) 969-8576
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robby Mathew
Title
Director/Owner
Phone
(832) 506-1024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 018212 TX Primary

Addresses

Primary practice location

920 FM 1092 Rd Ste 215
Stafford, TX 77477-5975

Mailing address

920 FM 1092 Rd Ste 215
Stafford, TX 77477-5975
Phone (281) 969-8576

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

920 Murphy Rd
Ste 215
Stafford, TX 77477
Phone (281) 969-8576

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1033620448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FM 1092 RD STE 215",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775975",
            "telephone_number": "281-969-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FM 1092 RD STE 215",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775975",
            "telephone_number": "281-969-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHANA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "832-506-1024"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "018212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.