Sha LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

13295 Issued in TX

Legal business name

SHA LLC

Doing business as

FirstCare

Practice address

12940 North Highway 183
Austin, TX 78750-3235

Phone

(512) 257-6209

Fax

(512) 257-6062

NPI assigned

Feb 12, 2008

Last updated

Feb 12, 2008By 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

Mr. Keenan Freeman

Title

Sr Vice President & Cfo

Phone

(512) 257-6209

Specialties & licenses 1

Addresses

Other names 1

• FirstCare Doing business as

Locations

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1689842791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12940 NORTH HIGHWAY 183",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503235",
            "telephone_number": "512-257-6209",
            "fax_number": "512-257-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 NORTH HIGHWAY 183",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503235",
            "telephone_number": "512-257-6209",
            "fax_number": "512-257-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KEENAN",
        "authorized_official_title_or_position": "SR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "512-257-6209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "13295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Austin, TX
• Providers in Austin, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.