Organization Active NPI

Sha Ja Personal Suppourt Assistance Services LLC

  • Home Health Agency
  • Little Elm, TX
National Provider Identifier
1235493560
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHA JA PERSONAL SUPPOURT ASSISTANCE SERVICES LLC
Practice address
2529 Stone Meadows Dr
Little Elm, TX 75068-6875
Phone
(972) 853-7480
Fax
(972) 853-7482
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Mr. Julius Awusa Eseni
Title
Administrator
Phone
(972) 853-7480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2529 Stone Meadows Dr
Little Elm, TX 75068-6875

Mailing address

2529 Stone Meadows Dr
Little Elm, TX 75068-6875
Phone (972) 853-7480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1235493560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 STONE MEADOWS DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686875",
            "telephone_number": "972-853-7480",
            "fax_number": "972-853-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 STONE MEADOWS DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686875",
            "telephone_number": "972-853-7480",
            "fax_number": "972-853-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHA JA PERSONAL SUPPOURT ASSISTANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "ESENI",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "AWUSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-853-7480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.