Shelter Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SHELTER HOSPICE INC

Practice address

8111 LBJ Fwy Ste 1330
Dallas, TX 75251-1475

Phone

(469) 778-0700

Fax

(469) 778-0707

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Mini Prince

Title

President

Phone

(469) 778-0700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971620

Legal name

SHELTER HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 6, 2020

Last certification

May 6, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 15, 2018 in TX

Enrollment address

8111 LBJ Fwy
Ste 1330
Dallas, TX 75251-1475

Listed as

Shelter Hospice IncCCN 971620 · All quality measures

Ownership

For-Profit

Certified

May 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Junaid Siddiq Kalia, M.D.

  • Neurology Physician
  • Prosper, TX
  • NPI 1790096998

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1346720075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511475",
            "telephone_number": "469-778-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511475",
            "telephone_number": "469-778-0700",
            "fax_number": "469-778-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-778-0700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Ramon Shelley, QMHP-CS
• Eric E Shellhorn, MSN, PMH,NP
• Helen Estress Shelly, LPC-S, CISM, VRC
• Shelter Community Services Inc
• Shelter Healthcare Inc
• Shelton School and Evaluation Center
• Shelton Speech-Language Center
• Cassandra Dawn Shelton, MS
• Crystal Renee Shelton
• Ebony Shelton

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.