Organization Active NPI

Shasta Medical Care Limited

  • Home Health Agency
  • Missouri City, TX
National Provider Identifier
1215715115
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHASTA MEDICAL CARE LIMITED
Practice address
7110 Wandering Lake LN
Missouri City, TX 77459-1738
Phone
(708) 261-1477
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mr. Samson Varkey, RRT
Title
Ceo
Phone
(708) 261-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7110 Wandering Lake LN
Missouri City, TX 77459-1738

Mailing address

7110 Wandering Lake LN
Missouri City, TX 77459-1738
Phone (708) 261-1477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1215715115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 WANDERING LAKE LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591738",
            "telephone_number": "708-261-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 WANDERING LAKE LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591738",
            "telephone_number": "708-261-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA MEDICAL CARE LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "VARKEY",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-261-1477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.