Individual provider Active NPI

Sheillah Ncube

  • Home Health Aide
  • Lake Dallas, TX
National Provider Identifier
1871113043
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
433 Lake Highland Dr
Lake Dallas, TX 75065-3711
Phone
(253) 455-2420
NPI assigned
Apr 17, 2020
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

433 Lake Highland Dr
Lake Dallas, TX 75065-3711

Mailing address

433 Lake Highland Dr
Lake Dallas, TX 75065-3711
Phone (253) 455-2420

Other identifiers 1

IdentifierTypeStateIssuer
850746345MedicaidTX

Other names 1

  • Sheillah Ncube Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LakeDallas Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Relevant Care Home Health Agency Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1871113043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 LAKE HIGHLAND DR",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653711",
            "telephone_number": "253-455-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 LAKE HIGHLAND DR",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653711",
            "telephone_number": "253-455-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NCUBE",
        "first_name": "SHEILLAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850746345",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LakeDallas",
            "affiliation": "N",
            "endpointDescription": "dallas",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "433 Lake Highland Dr",
            "city": "Lake Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750653711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHEILLAH",
            "last_name": "NCUBE",
            "credential": "RELEVANT CARE HHA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.