His Shadow Services LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

HIS SHADOW SERVICES LLC

Practice address

3007 Rose Trace Dr
Spring, TX 77386-3895

Phone

(432) 305-8090

NPI assigned

Dec 24, 2020

Last updated

Dec 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eze Owunna

Title

Administration

Phone

(432) 305-8090

Specialties & licenses 3

Addresses

Other names 1

• HIS Shadow Services LLC Former legal business name

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1578150462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 ROSE TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863895",
            "telephone_number": "432-305-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 ROSE TRACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863895",
            "telephone_number": "432-305-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS SHADOW SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "OWUNNA",
        "authorized_official_first_name": "EZE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "432-305-8090"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIS Shadow Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Iris Hilliard
• Mohamed Hindi
• Troy Lee Hines
• Kelly Jo Hinkson, THERAPIST
• Jacob Hinojosa, DC
• Brooke Hitchcock
• Jenna Rose Hitchcock
• Kathleen Hitchcock
• Justine Hitt
• Sara Kathleen Hixon, PT

• Personal Care Attendant in Spring, TX
• Providers in Spring, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.