Organization Active NPI

Shaw/Lovall Healthcare LLC

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1184932519
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHAW/LOVALL HEALTHCARE LLC
Practice address
12763 Capricorn St
500
Stafford, TX 77477-3980
Phone
(281) 980-3328
Fax
(281) 676-5089
NPI assigned
Sep 20, 2010
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Tamika Ann Shaw
Title
Administrator
Phone
(281) 980-3328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

12763 Capricorn St
500
Stafford, TX 77477-3980

Mailing address

12763 Capricorn St
500
Stafford, TX 77477-3980
Phone (281) 980-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

123 N Post Oak Ln
Ste 408
Houston, TX 77024
Phone (281) 980-3328

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 30, 2017 Change of OwnershipThis provider was the seller Your Choice Home HealthCCN 747817, TX, NPI 1689119471

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1184932519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12763 CAPRICORN ST",
            "address_2": "500",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773980",
            "telephone_number": "281-980-3328",
            "fax_number": "281-676-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12763 CAPRICORN ST",
            "address_2": "500",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773980",
            "telephone_number": "281-980-3328",
            "fax_number": "281-676-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW/LOVALL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-980-3328"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.